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James S Wagenaar, DO
Emergency Medical Services (Emergency Medicine) Physician in Ironton, Ohio
NPI 1194768754

James S Wagenaar is a Emergency Medical Services (Emergency Medicine) Physician based in Ironton, OH and is specialized in Emergency Medical Services. James S Wagenaar practices in Ironton, OH and has the professional credentials of DO. The NPI Number for James S Wagenaar is 1194768754 and holds a License No. 34005359 (Ohio).

The current practice location address for James S Wagenaar is 1408 Campbell Dr, Ironton, OH and can be reached out via phone at 740-533-9710 and via fax at 740-533-9712.

Location: 1408 Campbell Dr, Ironton, OH, 45638-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194768754
Provider Name
James S Wagenaar
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1408 Campbell Dr, Ironton, OH, 45638-2301
Phone Number
740-533-9710
Fax Number
740-533-9712
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000493481 01 ANTHEM BCBS
000702618 01 MOUNTAIN STATE BCBS
000000210197 01 OH OH MEDICAID UNISON
310917085154 01 OH OH MEDICAID CARESOURCE
0043615000 05 WV
0843529 05 OH
institution
Provider Business Practice Location Address Details
Address
1408 Campbell Dr
City
Ironton
State
Ohio
Zip
45638-2301
Phone Number
740-533-9710
Fax Number
740-533-9712
person
Provider Business Mailing Address Details
Address
1408 Campbell Dr
City
Ironton
State
Ohio
Zip
45638-2301
Phone Number
740-533-9710
Fax Number
740-533-9712
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
34005359 (Ohio)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
34005359 (Ohio)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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