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JAMES M WAGNER D.C.
NPI 1083791818
Chiropractor - Sports Physician in Annapolis, MD

Active since November 01, 2006PECOS Enrolled
107 RIDGELY AVE, STE. 11, ANNAPOLIS, MD 21401(410) 267-0033(410) 267-0667 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James M Wagner D.c. NPPES

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

JAMES M WAGNER D.C. (NPI 1083791818) is an individual sports physician in Annapolis, Maryland, licensed in Maryland (1457/PT) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Life Chiropractic College (1988).

NPPES Registry Identity

NPI1083791818
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameJAMES M WAGNERCredential: D.C.
Location Address107 RIDGELY AVE, STE. 11Annapolis, MD 21401-1417
Mailing Address107 Ridgely Ave, Ste. 11Annapolis, MD 21401-1417 · (410) 267-0033 · Fax (410) 267-0667
Phone(410) 267-0033
Fax(410) 267-0667
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1988
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 8, 2013
✔ NPI 1083791818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in MD · 1457/PT
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
107 RIDGELY AVE, Annapolis, MD 21401
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Other Identifiers 4

OtherW2090001MD · Bcbs Fep
OtherM155MD · Bcbs
Medicare UPINU61465MD
Medicare ID-Type Unspecified335QMD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James M Wagner D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951561257
PECOS Enrollment IDI20120323000534
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
160 services16 patients

Other Providers at the Same Location NPPES 5

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

JON HOLTZMAN CHIROPRACTIC, P.C.
Chiropractor
107 RIDGELY AVE, SUITE 11
ANNAPOLIS, MD 21401
Anne Arundel County (410) 267-6701
DR. JONATHAN R. HOLTZMAN D.C.
Chiropractor
107 RIDGELY AVE, SUITE 11
ANNAPOLIS, MD 21401
Anne Arundel County (410) 267-6701
DR. MARIE HINMAN BRIGHAM MD
Ophthalmology
107 RIDGELY AVE, SUITE 10
ANNAPOLIS, MD 21401
Anne Arundel County (410) 268-6464
JEFFREY MARLOWE KUCINE DO
Family Medicine
107 RIDGELY AVE, SUITE 14C
ANNAPOLIS, MD 21401
Anne Arundel County (410) 263-3313
BETH CUNNINGHAM, M.D., P.C.
Ophthalmology
107 RIDGELY AVE, SUITE 10
ANNAPOLIS, MD 21401
Anne Arundel County (410) 598-0853

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 James Wagner's NPI number?

The NPI number for James Wagner is 1083791818. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is James Wagner located?

James Wagner practices at 107 Ridgely Ave Ste. 11, Annapolis, MD 21401. The listed phone number is (410) 267-0033.

What is James Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is James Wagner enrolled in Medicare?

Yes. James Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Wagner was last updated on January 8, 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.