Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Corey Allen Wagner, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1144428038

Dr. Corey Allen Wagner, MD is an Obstetrics/Gynecology in Saint Louis, Missouri. Graduated from Southern Illinois University School of Medicine in 2007, 19 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Missouri and New York.

Years since qualifying
19
Trained at
Southern Illinois University School of Medicine
Licensed in
MO, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

621 S New Ballas Rd Ste 499-A
Saint Louis, MO 63141-8232
Phone: (314) 251-7650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 2010020901 (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 259975-1 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2010020901 (MO)

Record details

NPI number1144428038
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2007
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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