DIANE JORDAN-WAGNER M.D. – NPI #1013025097
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
DIANE JORDAN-WAGNER is a physician located in TERRE HAUTE, IN. NPPES has assigned the NPI number 1013025097 to DIANE JORDAN-WAGNER on August 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RA0201X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Allergy & Immunology
The NPI profile was previously updated about 13 years ago on Mar 14, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIANE JORDAN-WAGNER below.
NPI Profile for
DIANE JORDAN-WAGNER
(about 20 years ago)
TERRE HAUTE, IN 47804-1037 Phone: (812) 232-0564 Fax: (812) 235-3330
TERRE HAUTE, IN 47807-4214 Phone: (812) 232-0564 Fax: (812) 235-3330
Identifiers for DIANE JORDAN-WAGNER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | ANTHEM | 000000230225 | |
| OTHER | RAILROAD MCARE PALAMETTO | 030005377 | |
| OTHER | RAILROAD MEDICARE | IN | P00844293 |
| MEDICAID | IN | 200392780 | |
| MEDICAID | IN | 200392780Q |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RA0201X - Internal Medicine / Allergy & Immunology (Primary) |
IN | 01056292A |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.