Eric David Wagner is a Carbondale, Illinois based nurse anesthetist with 8 years of experience as Anesthesia Administration. He completed he graduation from University Of Michigan Medical School in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Eric David Wagner is 209016825 for Anesthesia Administration in Illinois. his current practice location is 405 W Jackson St, Carbondale. Patients can reach him at 618-549-0721 or can fax him at 618-529-0449. Eric David Wagner with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1306358445.
Eric David Wagner is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Eric David Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Experience: | 8+ years |
| Medical School Attended: | University Of Michigan Medical School |
| Graduation Year: | 2017 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 405 W Jackson St, Carbondale,
Illinois, 62901-1462 |
| Phone: | 618-549-0721 |
| Fax: | 618-529-0449 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2961769435 |
| Enrollment ID: | I20171208001194 |
| NPI Number: | 1306358445 |
| NPI Enumeration Date: | 30 Oct, 2017 |
| NPI Last Update On: | 05 Mar, 2021 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eric David Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| 209016825 | Anesthesia Administration | Illinois | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Memorial Hospital Of Carbondale (140164) | Carbondale, IL | Acute Care Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital (140011) | Herrin, IL | Acute Care Hospital |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Eric David Wagner has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Southern Illinois Medical Services Nfp (3678677390) | 352 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Eric David Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 118877 | Other | Illinois | NBCRNA |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 3988,
Carbondale, Illinois |
| Zip: | 62902-3988 |
| Phone Number: | 618-457-5200 |
| Fax Number: | -- |
Patients can reach Eric David Wagner at
405 W Jackson St, Carbondale, Illinois or can
call to book an appointment on 618-549-0721.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.