SUZANNE WAGNER MD
NPI 1902801079
Pediatrics in Greensboro, NC

Q: What is Suzanne Wagner's NPI number?

The NPI number for Suzanne Wagner is 1902801079. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Suzanne Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Suzanne Wagner was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 16, 2005

1046 E WENDOVER AVE, GREENSBORO, NC 27405(336) 272-1050(336) 272-1110 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Suzanne Wagner Md NPPES

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

SUZANNE WAGNER MD (NPI 1902801079) is an individual pediatrics provider in Greensboro, North Carolina, licensed in North Carolina (29970) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1902801079

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUZANNE WAGNERCredential: MD

Location Address1046 E WENDOVER AVEGreensboro, NC 27405-6712

Mailing Address1046 E Wendover AveGreensboro, NC 27405-6712 · (336) 272-1050 · Fax (336) 272-1110

Phone(336) 272-1050

Fax(336) 272-1110

Sole ProprietorNo

Enumeration DateJune 16, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1902801079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 29970

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1046 E WENDOVER AVE, Greensboro, NC 27405

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Other Identifiers 2

Other29970NC · Nc License

Medicaid7985192NC

Other Providers at the Same Location NPPES 20

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

MISS TIFFANY JANELLE MILES FNP-BC

Nurse Practitioner (Family)