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

Dr. Jaime Stephan Wagner, DO

Individual provider Diagnostic Radiology Physician · NPI 1306021704

Dr. Jaime Stephan Wagner, DO is a Diagnostic Radiology in Greensboro, North Carolina. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2007, 19 years ago. Practices with Danville Physician Practices LLC, a 171-clinician group and accepts Medicare assignment. Licensed in North Carolina and Oregon.

Years since qualifying
19
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
NC, OR
In the registry since
2008
Specialties on file
4
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.

See every abbreviation used in this directory →

Practice location Address checks out

1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone: (336) 274-9617
Fax: (336) 482-2177
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 2012-00139 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 162768 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2012-00139 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306021704
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 3, 2008
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2007 (19 years in practice)
Group practice Danville Physician Practices Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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