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Deactivated NPI 1366460875 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald Lynn Wagner , MD

General Practice • Linton, ND

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ronald Wagner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date June 19, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Wagner, MD was a registered General Practice practicing in Linton, ND. Throughout an active medical career spanning 12 years, Dr. Wagner provided care at the practice location at 511 ELM AVE until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

511 Elm Ave
Linton Medical Center

Linton, ND 58552

Telephone 7012544531
Fax 7012545459
Associated Practice Facility / Clinic
🏢 Linton Hospital Facility NPI 1568471563

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Linton, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 53.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Linton, ND (16 Statewide)

Telehealth Adoption Rate
0.0% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License ND 4268

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Daylon Wigart , RN MSN, FNP-C

Nurse Practitioner - Family

NPI 1134682933

RNMSN, Family Nurse Practitioner (Certified)

Dr. Alice Mann , MD

Family Medicine

NPI 1144450735

Doctor of Medicine (M.D.)

Dr. Tony Loggins , MD

Family Medicine

NPI 1174508618

Doctor of Medicine (M.D.)

Alice Schatz , PA-C

Physician Assistant

NPI 1275551780

Physician Assistant (Certified)

Cassidy Freeman

Nurse Practitioner - Family

NPI 1285524819
Rebecca Schatz , FNP-C

Nurse Practitioner - Family

NPI 1336522606

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 511 ELM AVE, LINTON MEDICAL CENTER, LINTON, ND 58552 (Tel: 7012544531)

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Updated Business Mailing Address July 08, 2007

Registered at 430 N BROADWAY ST, LINTON, ND 58552 (Tel: 7012544501)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RONALD WAGNER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #4268 in ND)

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Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366460875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

430 N Broadway St

Linton, ND 58552

Phone: 7012544501

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.