Active NPIIndividual provider

Mr. William Vanwagner, PA-C

Physician Assistant in Leeds, Massachusetts

NPI Number1164456430
Practice location
421 N Main St, Leeds, MA 01053-9764
Fax
413-582-3185
Last updated
July 10, 2007

William Vanwagner is a Physician Assistant based in Leeds, MA. William Vanwagner practices in Leeds, MA and has the professional credentials of PA-C. The NPI Number for William Vanwagner is 1164456430 and holds a License No. 1350 (MA). The current practice location address for William Vanwagner is 421 N Main St, Leeds, MA 01053-9764 and can be reached out via phone at 413-582-3010 and via fax at 413-582-3185.

Provider Profile Details

NPI Number
1164456430
Provider Name
William Vanwagner
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
421 N Main St, Leeds, MA 01053-9764
Phone Number
413-582-3010
Fax Number
413-582-3185
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2006
Last Update Date
July 10, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
Zip
01053-9764
Phone Number
413-582-3010
Fax Number
413-582-3185
Leeds, MA 01053Get directions →

Provider Business Mailing Address Details

Address
421 N Main St
Leeds, MA 01053-9764
City
Leeds
State
MA
Zip
01053-9764
Phone Number
413-582-3010
Fax Number
413-582-3185

License Information

License Number
1350
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. William Vanwagner, PA-C?

The NPI number of Mr. William Vanwagner, PA-C is 1164456430. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. William Vanwagner, PA-C?

Mr. William Vanwagner, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1350.

Where does Mr. William Vanwagner, PA-C practice?

The practice location is 421 N Main St, Leeds, MA 01053-9764. The office can be reached at 413-582-3010 (phone) or 413-582-3185 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164456430 directly on the NPPES registry website.

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