Mr. Christian Todd Wagner
Nurse Anesthetist, Certified Registered

Address: 126 Julia Rd, Sarver, PA 16055-1606
Phone: 7244522177

Mr. Christian Todd Wagner (NPI# 1326018235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1326018235
Entity Type Individual
Full Name Mr. Christian Todd Wagner
Credential CRNA
Gender Male
Practice Address 126 Julia Rd
Sarver
PA 16055-1606
Practice Telephone 7244522177
Mailing Address 126 Julia Rd
Sarver
PA 16055-1606
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-01-24
Last Update Date 2008-11-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers RN512604L PA

Other Provider Identifier

State Identifier Issuer Type Code
PA 101436263001 MEDICAID

Other Providers CHRISTIAN WAGNER

NPI Name Taxonomy Address Enumeration
1063514123 Christian E Wagner Family Medicine 1818 E Windsor Rd, Urbana, IL 61802-9566 2006-09-01
1053372987 Christian T Wagner Radiology 135 Gold Star Blvd, Worcester, MA 01606 2006-03-30

Physician Overview

NPI 1326018235
PAC ID by PECOS 1355362112
Professional Enrollment ID I20051208000751
Full Name Christian T Wagner
Organization Legal Name ALLEGHENY CLINIC
Gender M
Credential CNA
Graduation Year 2005
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
Group Practice PAC ID 5395649586
Number of Group Practice Members 1303
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390032 ALLEGHENY VALLEY HOSPITAL

Office Location

Street Address 126 JULIA RD
City SARVER
State PA
Zip Code 16055-1606

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1609940626 Elizabeth Adam Dentist 102 N. Pike Rd, Sarver, PA 16055 2006-11-20
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

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NPI Name Taxonomy Address Enumeration
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1639640550 Erica Breanne Palmer Nurse Anesthetist, Certified Registered 1086 Franklin St # N4000, Johnstown, PA 15905-4305 2018-12-17
1871077685 Catherine Sincovich Nurse Anesthetist, Certified Registered 5501 Old York Rd Ste 3006, Philadelphia, PA 19141-3018 2018-09-18
1497233308 Kristina Y Shaw Nurse Anesthetist, Certified Registered 900 Perry Hwy, Left, Pittsburgh, PA 15229 2018-08-02
1861985897 Brittany Elizabeth Lyon Nurse Anesthetist, Certified Registered 7918 Main St Unit 204, Fogelsville, PA 18051-9851 2018-06-13
1568969624 Revathi Sangeetha Thirumaran Nurse Anesthetist, Certified Registered 24 Chamberlain Ct, Glen Mills, PA 19342 2018-04-06
1164925558 West Chester Anesthesia LLC Nurse Anesthetist, Certified Registered 915 Old Fern Hill Rd Ste 300, West Chester, PA 19380-3431 2018-03-13
1184139248 Sean Hanna Nurse Anesthetist, Certified Registered 736 Pine St Unit C, Philadelphia, PA 19106-4005 2017-12-11
1154846921 Matthew Nagy Nurse Anesthetist, Certified Registered 1000 Dutch Ridge Rd Dept Of, Beaver, PA 15009-9727 2017-08-14
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Competitor

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City SARVER
Zip Code 16055

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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