AUDREY WAGAMAN


Address: 8326 Naab Rd, Indianapolis, IN 46260-1920
Phone: 3178710000

AUDREY WAGAMAN (NPI# 1073991501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073991501
Entity Type Individual
Full Name AUDREY WAGAMAN
Practice Address 8326 Naab Rd
Indianapolis
IN 46260-1920
Practice Telephone 3178710000
Practice Fax Number 3178710010
Mailing Telephone 3178710011
Mailing Fax Number 3178704552
Enumeration Date 2015-05-17
Last Update Date 2020-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8326 NAAB RD
City INDIANAPOLIS
State IN
Zip Code 46260-1920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659364800 Indiana Hemophilia & Thrombosis Center, Inc. Home Infusion 8326 Naab Rd, Indianapolis, IN 46260-1920 2005-08-23
1841765286 Stephanie Garrison Nurse Practitioner 8326 Naab Rd, Indianapolis, IN 46260-1920 2018-10-12
1154799039 Brittany Savage Nurse Practitioner 8326 Naab Rd, Indianapolis, IN 46260-1920 2015-09-09
1225422181 Indiana Hemophilia & Thrombosis Center, Inc Pharmacy 8326 Naab Rd, Indianapolis, IN 46260-1920 2015-03-27
1891183992 Jessica Taylor Nurse Practitioner 8326 Naab Rd, Indianapolis, IN 46260-1920 2014-12-26
1124446984 Kyle Andrew Davis Pediatrics 8326 Naab Rd, Indianapolis, IN 46260-1920 2014-03-30
1962848507 Andrew Ross Wickman O'brien Internal Medicine 8326 Naab Rd, Indianapolis, IN 46260-1920 2013-05-21
1538402565 Vaibhav Agrawal Internal Medicine 8326 Naab Rd, Indianapolis, IN 46260 2013-03-27
1033461983 Sarah Ashley Hall Physician Assistant 8326 Naab Rd, Indianapolis, IN 46260-1920 2012-10-02
1346509783 Sabrina Constance Rainey Internal Medicine 8326 Naab Rd, Indianapolis, IN 46260-1920 2012-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508478298 Verity Smile Studio, LLC Clinic/Center 1619 W. 86th St Suite B, Indianapolis, IN 46260 2020-08-23
1225666589 Alexander Michael Kiel Student in an Organized Health Care Education/Training Program Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 2020-03-31
1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639779739 Brock Sokolowski Physician Assistant 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 2020-10-28
1699373357 Dillon Etter Physician Assistant 2848 N Delaware St, Indianapolis, IN 46205-4118 2020-10-15
1962017210 Taylor Lee Bowen Physician Assistant 2760 Woodwind Way, Indianapolis, IN 46268-4233 2020-09-14
1912512476 William Terrell Parmenter Physician Assistant 2230 English Ave, Indianapolis, IN 46201-4017 2020-09-11
1457966376 Angela Shearon Physician Assistant 4325 N College Ave, Indianapolis, IN 46205-1931 2020-09-09
1639797004 John Padraic Allbritton Physician Assistant 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 2020-07-11
1154949907 Jonathon Michael Hirsch Physician Assistant 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 2020-07-08
1437776838 Megan Leanna Reynolds Physician Assistant 3841 Rookwood Ave, Indianapolis, IN 46208-3926 2020-07-01
1669099412 Alisa Elaine Schrump Physician Assistant 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 2020-06-28
1144846148 Melanie M. Herrold Physician Assistant 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 2020-06-25
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Competitor

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City INDIANAPOLIS
Zip Code 46260

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Dataset Information

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.

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