DR. ABRAHAM WAGNER (NPI# 1073664132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073664132 |
| Entity Type | Individual |
| Full Name | DR. ABRAHAM WAGNER |
| Credential | DPM |
| Practice Address |
21097 Ne 27th Ct Ste 110 Aventura FL 33180-1206 |
| Mailing Address |
20201 Ne 21st Ave Miami FL 33179-2804 |
| Practice Telephone | 3056526676 |
| Practice Fax Number | 3059326335 |
| Mailing Telephone | 3056526676 |
| Mailing Fax Number | 3059326335 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO 3262 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
21097 NE 27TH CT STE 110 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063445351 | Leonard J Pianko | Internal Medicine | 21097 Ne 27th Ct Ste 110, Aventura, FL 33180-1206 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143146 | Harold Robert Reinhartz | Podiatrist | 2980 Aventura Blvd, Aventura, FL 33180-3103 | 2005-09-08 |
| 1093072589 | Percy Lee Nelson Dpm Pa | Podiatrist | 21110 Biscayne Blvd, Suite 201, Aventura, FL 33180-1227 | 2012-04-20 |
| 1518287754 | Marie L Williams Dpm Pllc | Podiatrist | 21000 Ne 28th Ave, Suite 201, Aventura, FL 33180-1421 | 2010-06-10 |
| 1598972614 | Aventura Podiatry Associates Pa | Podiatrist | 2925 Aventura Blvd, Suite 102, Aventura, FL 33180-3124 | 2007-05-17 |
| 1508941576 | Marie L Williams Dpm Pa | Podiatrist | 21000 Ne 28th Ave, Suite 201, Aventura, FL 33180-1421 | 2006-10-26 |
| 1336231638 | Marie L Williams | Podiatrist | 21000 Ne 28th Ave, Suite 201, Aventura, FL 33180-1421 | 2006-09-28 |
| 1962594283 | Jean E Holewinski | Podiatrist | 21000 Ne 28th Ave, Suite 201, Aventura, FL 33180-1421 | 2006-09-28 |
| 1396767497 | Carmen B Lay Fremd | Podiatrist | 17971 Biscayne Blvd, Suite 109, Aventura, FL 33160 | 2006-07-25 |
| 1942231808 | Maria K Tsui | Podiatrist | 2925 Aventura Blvd, Suite 102, Aventura, FL 33180-3124 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| 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.