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

Ida Janelle Wagner, MD

Individual provider Surgery Physician · NPI 1689839177

Ida Janelle Wagner, MD is a Hand Surgery in Philadelphia, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
21
Licensed in
NJ, PA
In the registry since
2008
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

3509 N Broad St
Philadelphia, PA 19140-4105
Phone: (215) 707-3933
Fax: (215) 707-2531
Show map & directions

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

Additional practice locations (3)

  • 1311 Fairview Blvd Ste B, Delran, NJ 08075-1474 — (856) 764-8804
  • 570 Egg Harbor Rd Ste B1, Sewell, NJ 08080-2359 — (856) 341-8495
  • 200 Bowman Dr Ste E140, Voorhees, NJ 08043-9631 — (856) 983-4263

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA11470600 (NJ)
Surgery Physician Taxonomy 208600000X · Licence MD434346 (PA)

Record details

NPI number1689839177
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2008
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022

Medicare enrollment

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

Medicare specialtyHAND SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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