WILLIAM G WAGNER, MD, SC (NPI# 1073560884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073560884 |
| Entity Type | Organization |
| Organization Name | WILLIAM G WAGNER, MD, SC |
| Practice Address |
3100 Superior Ave Sheboygan WI 53081-1948 |
| Mailing Address |
2108 Kohler Memorial Dr #101 Sheboygan WI 53081-3100 |
| Practice Telephone | 9204518142 |
| Mailing Telephone | 9204518142 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM G WAGNER (PRESIDENT) |
| Authorized Official Telephone | 9204518142 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3100 SUPERIOR AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184342 | St. Nicholas Hospital-sisters of The Third Order of St Francis | General Acute Care Hospital | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2005-06-20 |
| 1447737762 | St Nicholas Hospital-sisters of The Third Order of St Francis | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1994 | 2018-07-20 |
| 1689108755 | Janelle Schirmer | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2017-04-17 |
| 1588116958 | Elizabeth Ann Dyer | Physical Therapist | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-11-01 |
| 1366994154 | Alison Penny Kescenovitz | Physical Therapist | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-10-27 |
| 1922468685 | Michelle Schmitz | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-02-24 |
| 1821457524 | Jessica Mella | Dietitian, Registered | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2016-02-23 |
| 1043694672 | Amanda Beinemann | Nurse Practitioner | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2015-07-14 |
| 1063816031 | Muniba Chohan | Internal Medicine | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2014-10-20 |
| 1538569488 | Rachel Curtin | Nurse Practitioner | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2014-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| 1689014417 | Casey A Melcher | Radiology | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2013-06-25 |
| 1376981068 | Syed A Rahman | Radiology | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2013-06-05 |
| 1467529917 | Gbr Sheboygan LLC | Radiology | 3100 Superior Ave, Sheboygan, WI 53081-1948 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245520840 | Sujan Swearingen | Radiology | 5931 Pilgrim Way, Racine, WI 53406-2739 | 2011-04-15 |
| 1124289657 | Farzad Rezai | Radiology | 624 N 59th St, Milwaukee, WI 53213-4214 | 2008-06-18 |
| 1679507883 | Center for Medical Imaging Inc | Radiology | W178n9912 Rivercrest Dr, Suite 102, Germantown, WI 53022-4645 | 2006-07-11 |
| 1003869140 | Interventional Procedures Group Ltd | Radiology | 2445 North Mayfair Road, Wauwatosa, WI 53226 | 2006-05-18 |
| 1902260433 | Jiahao Hu | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-04-11 |
| 1720443922 | Elliott Russell | Radiology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-12-15 |
| 1104212091 | Osmani Deochand | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-04-08 |
| 1447666219 | Chadi Diab | Radiology | 600 Highland Ave, Madison, WI 53792-2709 | 2014-07-01 |
| 1255743860 | Naif Hamad Alsaikhan | Radiology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2014-05-30 |
| 1225458300 | Patrick Self | Radiology | 1836 South Ave, La Crosse, WI 54601-5429 | 2014-04-16 |
| Find all providers with the same taxonomy | ||||
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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.