NPI Details
Matthew George Wagner, MD is a psychiatry psychiatry neurology in Hagerstown, MD with 35 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Matthew George Wagner, MD NPI is 1689609133. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year:1990
The provider's business location address is:
11116 MEDICAL CAMPUS RD
SUITE 2989
HAGERSTOWN, MD
ZIP 21742-710
Phone: (301) 766-7600
Fax: (301) 797-4976
The NPI 1689609133 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/13/2012.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2084P0800X | Psychiatry & Neurology | Psychiatry | D0034015 | MARYLAND | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | E27461 | MEDICARE UPIN | MARYLAND | |
| 2 | K025528V | MEDICARE ID-TYPE UNSPECIFIED | MARYLAND | MEDICARE GROUP # |
| 3 | 5324319 00 | MEDICAID | MARYLAND | |
| 4 | 001240825 0004 | OTHER | MARYLAND | PA MEDICAID |
| 5 | 425459-02 | OTHER | MARYLAND | BC/BS ID # |
| 6 | PVPB125341 | OTHER | MARYLAND | APS PROVIDER ID |
