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DIANE JORDAN-WAGNER M.D.
NPI 1013025097
Internal Medicine - Allergy & Immunology in Terre Haute, IN

Active since August 29, 2006
1429 N 6TH ST, TERRE HAUTE, IN 47804(812) 232-0564(812) 235-3330 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diane Jordan-wagner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE JORDAN-WAGNER M.D. (NPI 1013025097) is an individual allergy & immunology provider in Terre Haute, Indiana, licensed in Indiana (01056292A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1013025097
Entity TypeIndividualFemale
Primary Taxonomy207RA0201X
Provider Legal NameDIANE JORDAN-WAGNERCredential: M.D.
Location Address1429 N 6TH STTerre Haute, IN 47804-1037
Mailing Address221 S 6th StTerre Haute, IN 47807-4214 · (812) 232-0564 · Fax (812) 235-3330
Phone(812) 232-0564
Fax(812) 235-3330
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 14, 2013
✔ NPI 1013025097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0201X
Licenses✔ Licensed in IN · 01056292A✔ Licensed in IL · 36106006
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
1429 N 6TH ST, Terre Haute, IN 47804
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Other Identifiers 13

Medicare PIN859910OOOOIN
Medicare PIN265130YYYIN
Medicare UPINH77028
Medicare PIN230650GIN
Other000000230225Anthem
Medicaid200392780QIN
OtherP00844293IN · Railroad Medicare
Medicare PIN841040FFIN
Other030005377Railroad Mcare Palametto
Medicaid200392780IN
Medicare PIN192770RRRIN
Medicare PIN859920SIN
Medicare PINL98357IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Jordan-wagner's NPI number?

The NPI number for Diane Jordan-wagner is 1013025097. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Diane Jordan-wagner located?

Diane Jordan-wagner practices at 1429 N 6th St, Terre Haute, IN 47804. The listed phone number is (812) 232-0564.

What is Diane Jordan-wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

When was this NPI record last updated?

The NPPES record for Diane Jordan-wagner was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.