DR. JACK LAURENCE WAPNER M.D.
NPI 1164688677
Psychiatry & Neurology - Addiction Medicine in Randallstown, MD

Q: What is Jack Wapner's NPI number?

The NPI number for Jack Wapner is 1164688677. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is Jack Wapner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Q: When was this NPI record last updated?

The NPPES record for Jack Wapner was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 04, 2008

11100 LIBERTY RD, SUITE F, RANDALLSTOWN, MD 21133(410) 655-2740(410) 655-4740 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack Laurence Wapner M.d. NPPES

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

DR. JACK LAURENCE WAPNER M.D. (NPI 1164688677) is an individual addiction medicine provider in Randallstown, Maryland, licensed in Maryland (D0026048) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1164688677

Entity TypeIndividualMale

Primary Taxonomy2084A0401X

Provider Legal NameDR. JACK LAURENCE WAPNERCredential: M.D.

Location Address11100 LIBERTY RD, SUITE FRandallstown, MD 21133-1026

Mailing Address11100 Liberty Rd, Suite FRandallstown, MD 21133-1026 · (410) 655-2740 · Fax (410) 655-4740

Phone(410) 655-2740

Fax(410) 655-4740

Sole ProprietorYes

Enumeration DateAugust 4, 2008

✔ NPI 1164688677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in MD · D0026048

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

11100 LIBERTY RD, Randallstown, MD 21133

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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 Jack Wapner's NPI number?

The NPI number for Jack Wapner is 1164688677. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Jack Wapner located?

Jack Wapner practices at 11100 Liberty Rd Suite F, Randallstown, MD 21133. The listed phone number is (410) 655-2740.

What is Jack Wapner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Jack Wapner was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.