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

Richard John Wagner Jr., DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639794589

Richard John Wagner Jr., DO is a Psychiatry in Erie, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2020, 6 years ago. Practices with Dr Gertrude A. Barber Center, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA
In the registry since
2020
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

5515 Peach St
Erie, PA 16509-2695
Phone: (814) 864-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OS022870 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence OT020105 (PA)

Record details

NPI number1639794589
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address1 Lecom Pl, Erie, PA 16505-2571

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2020 (6 years in practice)
Group practice Dr. Gertrude A. Barber Center, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Erie