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DR. TIMOTHY R. WAGNER M.D.
NPI 1306899539
Orthopaedic Surgery in Lake City, SC

Active since May 18, 2006
330 MERCY STREET, LAKE CITY, SC 29560(843) 374-6431 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy R. Wagner M.d. NPPES

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

DR. TIMOTHY R. WAGNER M.D. (NPI 1306899539) is an individual orthopaedic surgery provider in Lake City, South Carolina, licensed in Kentucky (29577) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1306899539
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TIMOTHY R. WAGNERCredential: M.D.
Location Address330 MERCY STREETLake City, SC 29560
Mailing Address330 Mercy StLake City, SC 29560-2332 · (843) 374-6431
Phone(843) 374-6431
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 28, 2014
✔ NPI 1306899539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in KY · 29577
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
330 MERCY STREET, Lake City, SC 29560
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Other Names 1

Former Name (1)Dr. Timothy R. Wagner M.d.

Other Identifiers 5

Medicare UPINB91527SC
Medicare PIN8305SC
Medicare ID-Type Unspecified1559101KY
Medicare UPINB91527KY
Medicaid64295777KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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 Timothy Wagner's NPI number?

The NPI number for Timothy Wagner is 1306899539. It was assigned to this individual provider in the NPPES registry on May 18, 2006. The provider is also known as Dr. Timothy R. Wagner M.D..

Where is Timothy Wagner located?

Timothy Wagner practices at 330 Mercy Street, Lake City, SC 29560. The listed phone number is (843) 374-6431.

What is Timothy Wagner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Timothy Wagner accept?

Health plans from BlueCross BlueShield of South Carolina list Timothy Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Wagner was last updated on January 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.