T W Wagner Inc
NPI 1720183031ActiveOrganization· Family Medicine· Manila, AR
Family Medicine in Manila, Arkansas, registered in NPPES in September 2006. The authorized official on file is Tommy W. Wagner, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720183031 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2006 |
| Last updated in NPPES | Jul 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | E3873 | AR |
| Nurse Practitioner, Family | 363LF0000X | A01771 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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