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

Jordan Wagner, DO

Individual provider Emergency Medicine Physician · NPI 1558590679

Jordan Wagner, DO is an Emergency Medicine in Cambridge, Massachusetts. Graduated from University of New England, College of Osteo Medicine in 2009, 17 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
17
Trained at
University of New England, College of Osteo Medicine
Licensed in
CA, MA
In the registry since
2009
Specialties on file
2
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

1493 Cambridge St
Cambridge, MA 02139-1047
Phone: (617) 665-1435
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A14140 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 249402 (MA)

Record details

NPI number1558590679
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 10, 2009
Last updated in NPPESSeptember 25, 2018
Mailing address1493 Cambridge St, Cambridge, MA 02139-1047

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2009 (17 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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