Individual provider · Type 1 NPI

Michel Randolph Peter Wagner, MD

Surgery Physician · New Port Richey, FL

NPI number 1447200647 Active

Practice location

4619 Little Rd
New Port Richey, FL 34655-1329

Call (800) 991-6117 Map

Fax (888) 812-8191

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893

Other practice locations

  • 2580 Haymaker Rd Ste 304, Monroeville, PA 15146-3500 · (412) 858-3070

Specialties and licenses

TaxonomyCodeLicense
Trauma Surgery Physician 2086S0127XMD066014L (PA)
Surgery Physician 208600000XL1232 (TX)
Surgery Physician 208600000X86669 (GA)
Surgical Critical Care Physician 2086S0102XMD066014L (PA)
Surgery Physician Primary 208600000XME80662 (FL)
Surgery Physician 208600000XMD066014L (PA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

4 other providers at this address

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About NPI 1447200647

Michel Randolph Peter Wagner, MD's National Provider Identifier is 1447200647, issued on May 11, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in New Port Richey, FL. The record was last updated on Oct 15, 2026.