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1447561857

NPI Code Detail

MEDICARE: DR. JAMES MICHAEL WAGES JR. M.D.

MEDICARE: DR. JAMES MICHAEL WAGES JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	345041	LA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	345041	LA
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	2014023581	MO
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	Q3305	TX
5	207L00000X	Anesthesiology Physician	FW2014023581	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447561857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MICHAEL WAGES JR. M.D.

Provider Business Mailing Address
First Line	:	8731 PARK PLAZA DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5682
Country	:	US
Telephone Number	:	318-797-5848
Fax Number	:	318-797-5844

Provider Business Practice Location Address
First Line	:	8731 PARK PLAZA DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5682
Country	:	US
Telephone Number	:	318-797-5848
Fax Number	:	318-797-5844

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	01/23/2026

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Directions to “ DR. JAMES MICHAEL WAGES JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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