DR. MICHAEL WAGNER (NPI# 1093918021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093918021 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WAGNER |
| Credential | MD |
| Practice Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Practice Telephone | 4105437389 |
| Practice Fax Number | 4105437595 |
| Mailing Telephone | 4105437389 |
| Mailing Fax Number | 4105437595 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
D71661 | MD | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
C1-0009592 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1285169037 | Michael Wagner | Student in an Organized Health Care Education/Training Program | 4316 E Avalon Dr, #11, Phoenix, AZ 85018-7245 | 2017-04-28 |
| 1235585191 | Michael Charles Wagner | Occupational Therapist | 170 2nd St S, Nampa, ID 83651-3708 | 2016-05-10 |
| 1033555362 | Michael S Wagner | Marriage & Family Therapist | 3263 Sacramento St, Suite B, San Francisco, CA 94115-2054 | 2013-05-14 |
| 1013154293 | Michael James Wagner | Counselor | 10207 E Shady Rock Ln, Tucson, AZ 85749-8162 | 2009-01-09 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| 1609903178 | Michael John Wagner | Dentist | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2007-02-28 |
| 1073655825 | Michael C Wagner II | Nurse Practitioner | 603 N Logan Ave, Danville, IL 61832-4320 | 2007-02-12 |
| 1760577340 | Michael Dale Wagner | Psychologist | 5415 Medallion Dr W, Westerville, OH 43082-9194 | 2006-10-03 |
| Street Address |
100 E CARROLL ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778811 | Heidi Elizabeth Callahan | Physician Assistant | 100 E Carroll St, # 400, Salisbury, MD 21801-5422 | 2005-05-23 |
| 1649870916 | Katelyn Marie Mcwilliams | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1356941637 | Kayla Ann Holliday | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1093315376 | Amanda Strayer | Physical Medicine & Rehabilitation | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-27 |
| 1366049876 | Fahad Nayim Md LLC | Skilled Nursing Facility | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-07 |
| 1013514157 | Michelle H Grbic | Speech-Language Pathologist | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-10-01 |
| 1568071462 | Anastasiya Deem | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5493 | 2020-07-27 |
| 1336766021 | Myra Ngambo Njapau-dove | Nurse Anesthetist, Certified Registered | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-29 |
| 1588280655 | Ashton Renee Hyde | Nurse Anesthetist, Certified Registered | 100 E Carroll St, Salisbury, MD 21801-5493 | 2020-06-24 |
| 1952926891 | Tidalhealth Specialty Care, LLC | Pediatrics | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760662225 | Martina De Comarmond | Pathology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2007-11-13 |
| 1336213552 | William J Logan | Pathology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-11-20 |
| 1124101209 | Patrick Edward Oreilly Jr. | Pathology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-10-23 |
| 1982668224 | Leslie Rupard Debroder | Pathology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-04-13 |
| 1457324741 | Rowan Regional Pathology Associates P A | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2006-02-08 |
| 1003808288 | James Robert Cervin | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-08-16 |
| 1548252661 | Joel Michael Weber | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-08-16 |
| 1205828324 | Leslie Sierra Renten | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-08-16 |
| 1982696118 | Rachel Hereford Ross | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325301 | P4 Pathology P C | Pathology | 8000 Virginia Manor Rd Ste 170, Beltsville, MD 20705-4230 | 2017-09-18 |
| 1245642511 | Yang Zhang | Pathology | 401 N Broadway St Ste 2242, Baltimore, MD 21287 | 2014-05-21 |
| 1730422973 | Lynette Alise Khan Parker | Pathology | 4301 Jones Bridge Rd Bldg B3102, Bethesda, MD 20814-4799 | 2013-04-05 |
| 1720321375 | Alexander Albert Berrebi | Pathology | 1725 S Hanover St, Baltimore, MD 21230-4813 | 2013-04-02 |
| 1164780367 | James Lyman Hall | Pathology | 11203 Neelsville Church Rd, Germantown, MD 20876-4130 | 2012-04-25 |
| 1881950475 | Kevin Michael Waters | Pathology | 600 N Wolfe St Pathology, Baltimore, MD 21287-0001 | 2012-04-09 |
| 1750647988 | Feriyl Bhaijee | Pathology | 10208 Hickory Ridge Rd, Apt. 104, Columbia, MD 21044-4686 | 2012-04-02 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| 1780975821 | Leroy Benjamin Buckler | Pathology | 1270 Old Madison Rd, Madison, MD 21648-1102 | 2011-04-24 |
| 1356653653 | Deepty Bhansali | Pathology | 10218 Shining Willow Dr, Rockville, MD 20850-5462 | 2010-07-02 |
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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.