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

Dr. Ethan E Wagner, DO

Individual provider Emergency Medicine Physician · NPI 1386643310

Dr. Ethan E Wagner, DO is an Emergency Medicine in Anderson, Indiana. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2002, 24 years ago. Practices with Riverview Hospital, a 209-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
24
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
IN
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2015 Jackson St
Anderson, IN 46016-4337
Phone: (765) 646-8439
Fax: (765) 646-8578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 02002898A (IN)

Record details

NPI number1386643310
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 20, 2005
Last updated in NPPESOctober 10, 2007
Mailing address2015 Jackson St, Anderson, IN 46016-4337

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2002 (24 years in practice)
Group practice Riverview Hospital — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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