NPI age
19 years
Enumerated 2007-02-07
● Active
Type 1 · Individual
DR. David Dale Wageman, DO
Wageman is 1 of 3 emergency medicine providers in Rupert and 1 of 336 in Idaho.
Primary specialty
Emergency Medicine
Plus 2 subspecialties
Licensed in
ID, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 336 active emergency medicine providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 59% — 40% of peers are multi-state
Subspecialties
1
In the 51% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
1224 8th St
Rupert, ID 833501599
Mailing address
1640 McManus Dr
Troy, MI 480841551
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1 Ford Pl # 2e
Detroit, MI 482023450
Specialties
-
Emergency Medicine PrimaryAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 5101015277 | LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.