NPI age
20 years
Enumerated 2006-01-20
● Active
Type 1 · Individual
Robert Wagner, MD
Wagner is 1 of 4 emergency medicine providers in Idaho Falls and 1 of 14 in Idaho.
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 14 active emergency medicine providers in Idaho.
NPI age
20 years
≈ at median (20 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 71% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
3100 Channing Way
Idaho Falls, ID 834047533
Mailing address
Po Box 1647, 22860 Channing Way Suite 115
Idaho Falls, ID 834031647
Specialties
-
Emergency Medicine PrimaryA specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns,...
-
Emergency MedicineAn 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....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 57968 | BLUE CROSS |
| 05 (ID) | 4012400 |
Practice context
Part of a multi-provider practice. 240 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 →
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