EARL JASON WAGNER SUBMARINE IDC
NPI 1770749541
Military Health Care Provider - Independent Duty Corpsman in Fpo, AE

Q: What is Earl Wagner's NPI number?

The NPI number for Earl Wagner is 1770749541. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Q: What is Earl Wagner's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Earl Wagner was last updated on July 31, 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 July 31, 2008

USS PITTSBURGH SSN-720, FPO, AE 09582(860) 694-3618 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Earl Jason Wagner Submarine Idc NPPES

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

EARL JASON WAGNER SUBMARINE IDC (NPI 1770749541) is an individual independent duty corpsman provider in Fpo, AE and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1770749541

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameEARL JASON WAGNERCredential: SUBMARINE IDC

Location AddressUSS PITTSBURGH SSN-720Fpo, AE 09582-2400

Mailing Address79 Hickory DrGroton, CT 06340-2910 · (860) 449-9359

Phone(860) 694-3618

Sole ProprietorYes

Enumeration DateJuly 31, 2008

✔ NPI 1770749541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

USS PITTSBURGH SSN-720, Fpo, AE 09582

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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 Earl Wagner's NPI number?

The NPI number for Earl Wagner is 1770749541. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Earl Wagner located?

Earl Wagner practices at Uss Pittsburgh Ssn-720, Fpo, AE 09582. The listed phone number is (860) 694-3618.

What is Earl Wagner's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Earl Wagner was last updated on July 31, 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.