What is Jacob Wagner's NPI number?

Jacob Wagner's National Provider Identifier (NPI) is 1194176784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacob Wagner's specialty?

Jacob Wagner is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).

Where is Jacob Wagner located?

Jacob Wagner's practice location on file with NPPES is 17293 Delaware Ave, Redford, MI 48240-2302.

What is Jacob Wagner's phone number?

The practice phone number listed in the NPPES registry for Jacob Wagner is (313) 948-7199.

Is Jacob Wagner's NPI active?

Yes — Jacob Wagner's NPI (1194176784) is active in the NPPES registry as of the last update on 2016-06-25.

IndividualActive

Jacob Wagner

NPI 1194176784 · Other Technician · Redford, MI

Jacob Wagner is a Other Technician provider in Redford, MI (NPI 1194176784).

Provider details

NPI number: 1194176784
Entity type: Individual
Primary specialty: Other TechnicianTechnologists, Technicians & Other Technical Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Other TechnicianPrimary247200000X
Technologists, Technicians & Other Technical Service Providers

Profile Score

Established profile(65/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

17293 Delaware Ave

Redford, MI 48240-2302

Phone: (313) 948-7199

Street-level locationGet directions

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Mailing address