MAXWELL SOLOMON WAGNER MD
NPI 1376171306
Student in an Organized Health Care Education/Training Program in Norfolk, VA
About Maxwell Solomon Wagner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXWELL SOLOMON WAGNER MD (NPI 1376171306) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maxwell Solomon Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
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 Maxwell Wagner's NPI number?
The NPI number for Maxwell Wagner is 1376171306. It was assigned to this individual provider in the NPPES registry on March 27, 2020.
Where is Maxwell Wagner located?
Maxwell Wagner practices at 825 Fairfax Ave Ste 610, Norfolk, VA 23507. The listed phone number is (757) 446-8950.
What is Maxwell Wagner's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Maxwell Wagner enrolled in Medicare?
Yes. Maxwell Wagner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Maxwell Wagner was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Maxwell Solomon Wagner, MD · NPI 1376171306
Student in an Organized Health Care Education/Training Program provider in Norfolk, Virginia. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1376171306 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 825 FAIRFAX AVE STE 610, Norfolk, VA 23507-1914
- **Phone:** (757) 446-8950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1376171306) · Data from the CMS NPPES public registry.