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Active NPI 1770609844 Individual Practitioner Female Practitioner

Dr. Phyllis J Wagner , MD

Pediatrics • Cambridge, MA

Professional Overview & Biography Verified Profile Summary

Dr. Phyllis Wagner, MD is a registered healthcare professional specializing in Pediatrics in Cambridge, MA. Practice services are available at 4 CRAWFORD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4 Crawford St

Cambridge, MA 021391624

Telephone 6174922855

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Cambridge, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.2 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Cambridge, MA (2760 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 37927

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active November 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2008

Registered at 4 CRAWFORD ST, CAMBRIDGE, MA 021391624 (Tel: 6174922855)

📍
Updated Business Mailing Address November 04, 2008

Registered at PO BOX 380042, CAMBRIDGE, MA 022380042

👤
Provider Name / Credentials Updated November 04, 2008

Recorded as PHYLLIS WAGNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2008

Pediatrics (License #37927 in MA)

🟢
Initial NPI Registration & Enumeration March 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770609844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: November 04, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 380042

Cambridge, MA 022380042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.