DR. JEFFREY C WAGNER (NPI# 1033321914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033321914 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY C WAGNER |
| Credential | M.D. |
| Practice Address |
499 E Hampden Ave Suite 360 Englewood CO 80113-2780 |
| Mailing Address |
499 E Hampden Ave Ste 360 Englewood CO 80113-3877 |
| Practice Telephone | 3037814485 |
| Practice Fax Number | 3037887666 |
| Mailing Telephone | 3037814485 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
26744 | NE | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
6312366-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
48115 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEMORIAL HOSPITAL UPIN | COA105215 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881151876 | Jeffrey Frank Wagner | Pharmacist | 6310 Health Park Way Ste 130, Lakewood Ranch, FL 34202-5177 | 2019-02-26 |
| 1760521843 | Jeffrey M Wagner | Psychologist | 500 Market Street 1-g, Portsmouth, NH 03801 | 2007-02-06 |
| 1437244050 | Jeffrey Todd Wagner | Physical Therapist | 1 Gateway Drive, Wading River, NY 11792 | 2006-10-03 |
| 1891744967 | Jeffrey Douglas Wagner | Physician Assistant | 18 Ronald Ln, Sayville, NY 11782-1622 | 2006-05-08 |
| 1881684207 | Jeffrey M Wagner | Allergy & Immunology | 98 Willow Ln, Spartanburg, SC 29307-1357 | 2005-10-26 |
| 1881690790 | Jeffrey David Wagner | Surgery | 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 | 2005-06-24 |
| 1255894481 | Jeffrey Ryan Wagner | Student in an Organized Health Care Education/Training Program | 2425 Geary Blvd, San Francisco, CA 94115-3358 | 2019-04-14 |
| 1003312117 | Jeffrey Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-05 |
| 1023552114 | Jeffrey David Wagner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239 | 2016-12-08 |
| 1578798914 | Jeffrey Mark Wagner | Physical Therapist | 1430 Esplanade, Suite 8, Chico, CA 95926-3366 | 2009-05-28 |
| Street Address |
499 E HAMPDEN AVE SUITE 360 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-2780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395305 | James Joseph Fenton | Internal Medicine | 499 E Hampden Ave, Ste 300, Englewood, CO 80113-2793 | 2005-06-10 |
| 1992232144 | Owori Bwire Mang'eni | Pharmacist | 499 E Hampden Ave, Englewood, CO 80113 | 2017-05-18 |
| 1861936049 | Ellen Rae Mackinnon | Nurse Practitioner | 499 E Hampden Ave, Suite 300, Englewood, CO 80113-2780 | 2016-12-07 |
| 1457894347 | Jacob Beans | Nurse Practitioner | 499 E Hampden Ave, 3rd Fl, Suite 300, Englewood, CO 80113-2780 | 2016-11-23 |
| 1497204648 | Kimberly Buckelew | Specialist/Technologist, Other | 499 E Hampden Ave, 220, Englewood, CO 80113-2780 | 2016-09-29 |
| 1770030777 | Clare Gutzwiller | Physician Assistant | 499 E Hampden Ave, Suite 220, Englewood, CO 80113-2780 | 2016-09-07 |
| 1710431564 | Katherine Jane Giles | Clinical Neuropsychologist | 499 E Hampden Ave, Ste. 360, Englewood, CO 80113-2780 | 2016-08-10 |
| 1295288769 | Allan Nguyen | Surgery | 499 E Hampden Ave, #380, Englewood, CO 80113-2780 | 2016-08-01 |
| 1730550856 | Kelly Dooley | Physician Assistant | 499 E Hampden Ave, Suite 220, Englewood, CO 80113-2780 | 2015-10-15 |
| 1568833713 | Carepoint Inpatient Blue Sky Neurology Pllc | Physician Assistant | 499 E Hampden Ave, Ste. 360, Englewood, CO 80113-2780 | 2015-10-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1144779380 | 5280 Iom Pro, LLC | Psychiatry & Neurology | 1700 Bassett St Unit 1021, Denver, CO 80202-1921 | 2016-09-29 |
| 1407143043 | Alma Yum | Psychiatry & Neurology | 660 Bannock St # Mc4000, Denver, CO 80204-4506 | 2011-07-04 |
| 1942526835 | South Denver Neuromonitoring | Psychiatry & Neurology | 190 Jasmine St, Denver, CO 80220-5913 | 2010-04-16 |
| 1114165081 | Rjb Spine, LLC | Psychiatry & Neurology | 775 Capilano Ct, Castle Rock, CO 80108-3486 | 2009-01-29 |
| 1710123179 | Rocky Mountain Monitoring and Assist, LLC | Psychiatry & Neurology | 8500 Park Meadows Dr Ste 210, Lone Tree, CO 80124-2744 | 2009-01-06 |
| 1417102666 | Lawrence Lynch Mcreynolds | Psychiatry & Neurology | 7137 County Road 5, Ridgway, CO 81432-9734 | 2008-12-01 |
| 1134220288 | Kristen C Barner | Psychiatry & Neurology | 1813 Fairacres Dr, Greeley, CO 80631-5376 | 2006-09-25 |
| 1316557473 | Alexander Monroe Wolf | Psychiatry & Neurology | 950 E Harvard Ave, Denver, CO 80210-7009 | 2020-08-04 |
| 1487282992 | Neurology Institute of Colorado, Pllc | Psychiatry & Neurology | 433 Summit Blvd Unit 201, Broomfield, CO 80021-8299 | 2020-03-30 |
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| 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.