| James S Wagenaar, DO | |
|
1408 Campbell Dr, Ironton, OH 45638-2301 | |
| (740) 533-9710 | |
| (740) 533-9712 |
| Full Name | James S Wagenaar |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1408 Campbell Dr, Ironton, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194768754 | NPI | - | NPPES |
| 000000493481 | Other | ANTHEM BCBS | |
| 000702618 | Other | MOUNTAIN STATE BCBS | |
| 000000210197 | Other | OH | OH MEDICAID UNISON |
| 310917085154 | Other | OH | OH MEDICAID CARESOURCE |
| 0043615000 | Medicaid | WV | |
| 0843529 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34005359 (Ohio) | Primary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 34005359 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| James S Wagenaar, DO 1408 Campbell Dr, Ironton, OH 45638-2301 Ph: (740) 533-9710 | James S Wagenaar, DO 1408 Campbell Dr, Ironton, OH 45638-2301 Ph: (740) 533-9710 |
Dr. Todd Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1408 Campbell Dr, Ironton, OH 45638 Phone: 740-533-9710 Fax: 937-619-4150 |