LANA K WAGNER (NPI# 1003890112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003890112 |
| Entity Type | Individual |
| Full Name | LANA K WAGNER |
| Credential | MD |
| Practice Address |
4100 High Resort Blvd Se Pmg Rio Rancho High Resort 4100 Rio Rancho NM 87124-5901 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5054628520 |
| Practice Fax Number | 5054628510 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2015-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2000303 | NM | Allopathic & Osteopathic Physicians |
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
2000-303 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
4100 HIGH RESORT BLVD SE PMG RIO RANCHO HIGH RESORT 4100 |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013259076 | Lenora Michelle Mathes | Student in an Organized Health Care Education/Training Program | 4100 High Resort Blvd Se, Rio Rancho, NM 87124 | 2013-03-17 |
| 1598051245 | Salvador Ricardo Garcia | Internal Medicine | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2011-06-21 |
| 1417248469 | Weiwei Dai | Psychiatry & Neurology | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2011-04-26 |
| 1487966461 | Pilaiporn Palakawong Na Ayudhya | Internal Medicine | 4100 High Resort Blvd Se, Presbyterian Medical Group, Endocrinology, Rio Rancho, NM 87124-5901 | 2010-07-08 |
| 1932429891 | Erwyn Chua Ong | Internal Medicine | 4100 High Resort Blvd Se, Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124-5901 | 2010-06-02 |
| 1235345224 | David A Fleishman | Technician, Other | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2007-05-15 |
| 1245379239 | Sharon E Nunez | Internal Medicine | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2007-02-06 |
| 1902959000 | Raechel Pacheco | Family Medicine | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2007-01-19 |
| 1447359138 | Judith L. Gillum | Nurse Practitioner | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2006-09-21 |
| 1700814316 | Santa Fe Pain & Spine Specialists PC | Anesthesiology | 4100 High Resort Blvd Se, Suite 215, Rio Rancho, NM 87124-5901 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464652 | Pinon Healthcare, LLC | Family Medicine | 904 E 20th St Ste B, Farmington, NM 87401-4281 | 2019-08-27 |
| City | RIO RANCHO |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on LANA K WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.