Richard Kent Wagner
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
263 Farmington Avenue
Farmington
, Connecticut 06030-8085
Richard Kent Wagner
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
263 Farmington Avenue
Farmington
, Connecticut 06030-8085
(860) 679-1494
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Richard Kent Wagner
- 263 Farmington Avenue
- Farmington, CT
- Zip : 06030-8085
- Fax : (860) 679-1494
- Phone : (860) 679-3387
Second Address
- Richard Kent Wagner
- 263 Farmington Avenue
- Farmington, CT
- Zip : 06030-8085
- Fax : (860) 679-1494
- Phone : (860) 679-3387
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FAQs
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Is Richard Kent Wagner a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | MD34869 | TN |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 067319 | CT |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 34869 | TN |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | Q9542 | TX |
National Provider Identifier
| NPI | 1003858952 |
|---|---|
| Provider Name | Richard Kent Wagner |
| First Address | Farmington, CT 06030-8085 |
| Second Address | Farmington, CT 06030-8085 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 05/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03079002 | (05) | MS |
| 160058729 | RR MEDICARE (01) | |
| 362343103 | (05) | TX |
| 3862861 | (05) | TN |
| 4039002 | BCBS (01) | |
| 861880 | MEDICARE (01) | TX |
| 8LP486 | BCBS (01) | TX |
| F94764 | (02) | TN |
| P02351968 | MEDICARE RAIL ROAD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.