Active NPIIndividual provider

Carson Wagor, PA-C

Physician Assistant in Dedham, Massachusetts

NPI Number1346913399
Practice location
983 Boston-Providence Turnpike, Dedham, MA 02026
Fax
—
Last updated
November 18, 2021

Carson Wagor is a Physician Assistant based in Dedham, MA. Carson Wagor practices in Dedham, MA and has the professional credentials of PA-C. The NPI Number for Carson Wagor is 1346913399. The current practice location address for Carson Wagor is 983 Boston-Providence Turnpike, Dedham, MA 02026 and can be reached out via phone at 781-819-6400.

Provider Profile Details

NPI Number
1346913399
Provider Name
Carson Wagor
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
983 Boston-Providence Turnpike, Dedham, MA 02026
Phone Number
781-819-6400
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2021
Last Update Date
November 18, 2021
Certification Date
November 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
983 Boston-Providence Turnpike
Dedham, MA 02026
City
Dedham
Zip
02026
Phone Number
781-819-6400
Dedham, MA 02026Get directions →

Provider Business Mailing Address Details

Address
131 Seaport Blvd Apt 1515
Boston, MA 02210-3049
City
Boston
State
MA
Zip
02210-3049
Phone Number
207-604-0997

License Information

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 Carson Wagor, PA-C?

The NPI number of Carson Wagor, PA-C is 1346913399. It was assigned on July 27, 2021 and is currently active in the NPPES registry.

What is the specialty of Carson Wagor, PA-C?

Carson Wagor, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Carson Wagor, PA-C practice?

The practice location is 983 Boston-Providence Turnpike, Dedham, MA 02026. The office can be reached at 781-819-6400 (phone).

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 1346913399 directly on the NPPES registry website.

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