JAMES S WAGENAAR (DO) – Emergency Medicine Physician, NPI 1194768754

Emergency Medicine Physician

JAMES S WAGENAAR (DO) is a healthcare provider. based in Gallipolis, Ohio. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 34005359 (OH). The NPI Number for JAMES S WAGENAAR (DO) is 1194768754

Main info

Male

39 Years Of Experience

Accepts Medicare Assignment

Name

JAMES S WAGENAAR (DO)

NPI

1194768754

Phone

(740) 446-5201

Address

90 Jackson Pike

Enumeration Date

13 June 2006

Last Update Date

29 October 2020

Doctor Profile

Medical School Name

MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE

Secondary Phone

7405339710

Graduation Year

1987 (39 years ago)

PAC ID

5890793921

Group Practice PAC ID

8527233261

Professional Enrollment ID

I20061127000334

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience69

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for JAMES S WAGENAAR (DO)

90 Jackson Pike
Gallipolis, OH 456311560
Phone: (740) 446-5201
Fax: (740) 446-5761
Type: Location
Saint Mary's Medical Center - Ironton Campus, 1408, Campbell Drive, Hecla, Ironton, Upper Township, Lawrence County, Ohio, 45638, United States
IRONTON, OH 456382301
Phone: (740) 533-9710
Fax: (740) 553-9712
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45631)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8527233261View full group profile