PHYLLIS J WAGNER MD
NPI 1770609844
Pediatrics in Cambridge, MA

NPI Status: Active since March 21, 2007

Contact Information

4 CRAWFORD ST
CAMBRIDGE, MA
ZIP 02139
Phone: (617) 492-2855

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  • Individual
  • Female
  • Pediatrics

About PHYLLIS WAGNER

This page provides the complete NPI Profile along with additional information for Phyllis Wagner, a pediatrician established in Cambridge, Massachusetts with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1770609844 assigned on March 2007. The practitioner's primary taxonomy code is 208000000X with license number 37927 (MA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1770609844
Provider Name
PHYLLIS J WAGNER MD
Gender
Female
Entity Type
Individual
Location Address
4 CRAWFORD ST CAMBRIDGE, MA 02139
Location Phone
(617) 492-2855
Mailing Address
PO BOX 380042 CAMBRIDGE, MA 02238
Is Sole Proprietor?
Yes
Enumeration Date
03-21-2007
Last Update Date
11-04-2008
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A pediatrician like Phyllis Wagner is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
37927
License State
MA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770609844
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401201888
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 2 + 0 + 1 + 8 + 8 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1770609844 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770609844, enumerated in the NPI registry as an "individual" on March 21, 2007

The provider is located at 4 Crawford St Cambridge, Ma 02139 and the phone number is (617) 492-2855

The provider's speciality is Pediatrics with taxonomy code 208000000X

This NPI record was last updated on March 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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