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

Dr. Frederick Wagner, MD

Individual provider Anesthesiology Physician · NPI 1770589053

Dr. Frederick Wagner, MD is an Anesthesiology in Glen Carbon, Illinois. Graduated from Saint Louis University School of Medicine in 1997, 29 years ago. Practices with Millennium Anesthesiology Consultants LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
29
Trained at
Saint Louis University School of Medicine
Licensed in
IL, MO
In the registry since
2005
Specialties on file
2
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

5921 Meridian Woods Dr
Glen Carbon, IL 62034-1545
Phone: (618) 391-5883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036124604 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 113352 (MO)

Record details

NPI number1770589053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESApril 14, 2017
Mailing address150 Bluff Ave, North Augusta, SC 29841-3862

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Millennium Anesthesiology Consultants Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Glen Carbon