DR. ZACHARY COLE WAGNER DO
NPI 1023703055
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 06, 2023PECOS Enrolled
1040 WISHARD BLVD, DUNLAP BUILDING, INDIANAPOLIS, IN 46202(317) 278-1090 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Zachary Cole Wagner Do NPPES

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

DR. ZACHARY COLE WAGNER DO (NPI 1023703055) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023703055
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ZACHARY COLE WAGNERCredential: DO
Location Address1040 WISHARD BLVD, DUNLAP BUILDINGIndianapolis, IN 46202
Mailing Address1040 Wishard Blvd, Dunlap BuildingIndianapolis, IN 46202 · (317) 962-8893
Sole ProprietorNo
Enumeration DateApril 6, 2023
NPPES CertifiedMarch 31, 2023
NPI 1023703055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1040 WISHARD BLVD, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Zachary Cole Wagner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023703055, enumerated as an "individual" on April 06, 2023.

The provider is located at 1040 WISHARD BLVD DUNLAP BUILDING INDIANAPOLIS, IN 46202 and the phone number is (317) 278-1090.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.