HAROLD G WAGNER (NPI# 1114015138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114015138 |
| Entity Type | Individual |
| Full Name | HAROLD G WAGNER |
| Credential | D.O. |
| Practice Address |
7441 Marvin D Love Fwy Ste 300 Dallas TX 75237-3490 |
| Practice Telephone | 9725721998 |
| Practice Fax Number | 9725724842 |
| Mailing Telephone | 9725721998 |
| Mailing Fax Number | 9725724842 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | H6679 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
H6679 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PIN | 008PH | 01 |
| TX | RAILROAD MEDICARE PIN | P00207035 | 01 |
| TX | 140123437 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700996196 | Harold Warren Wagner | Psychologist | 1640 W Clinch Ave, Knoxville, TN 37916-2524 | 2006-08-30 |
| 1013974302 | Harold B Wagner | Optometrist | 300 Plaza Ct, Ste A, East Stroudsburg, PA 18301-8260 | 2006-04-28 |
| Street Address |
7441 MARVIN D LOVE FWY STE 300 |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477574390 | Dana Adele Racinskas | Nurse Practitioner | 7441 Marvin D Love Fwy, 300, Dallas, TX 75237-3490 | 2006-07-23 |
| 1144716408 | Keys To Love, LLC | In Home Supportive Care | 7441 Marvin D Love Fwy, Dallas, TX 75237-3490 | 2018-07-10 |
| 1710292974 | Sunray Financial LLC | Durable Medical Equipment & Medical Supplies | 7441 Marvin D Love Fwy, Suite 310, Dallas, TX 75237-3490 | 2010-08-12 |
| 1629306147 | Caremed Home Healthcare LLC | Home Health | 7441 Marvin D Love Fwy, #306, Dallas, TX 75237-3490 | 2009-11-20 |
| 1346449535 | Anita Chacko | Nurse Practitioner | 7441 Marvin D Love Fwy, Suite 300, Dallas, TX 75237-3490 | 2007-07-17 |
| 1336237338 | Carlyn B Mason | Family Medicine | 7441 Marvin D Love Fwy, Ste 300, Dallas, TX 75237-3490 | 2006-10-11 |
| 1255438701 | Harold Wagner Do Pa | Family Medicine | 7441 Marvin D Love Fwy, Suite 300, Dallas, TX 75237-3490 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629609060 | Good4u Family Clinic Dallas Fort Worth (dfw) Pllc | Internal Medicine | 1417 N Cockrell Hill Rd Ste 101a, Dallas, TX 75211-1308 | 2020-02-03 |
| 1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
| 1386959906 | Gunjan Kant | Internal Medicine | 6901 Snider Plaza, #130, Dallas, TX 75205-5649 | 2010-08-09 |
| 1942407572 | Amy Amend Johnson | Internal Medicine | 5939 Harry Hines Blvd Floor 8, Suite 124, Dallas, TX 75390-8889 | 2007-06-28 |
| 1174729503 | North Dallas Internal Medicine | Internal Medicine | 8210 Walnut Hill Lane Ste 416, Dallas, TX 75231 | 2007-06-22 |
| 1992801567 | David Charles Hales | Internal Medicine | 4500 S Lancaster Rd # 18, Dallas, TX 75216-7167 | 2006-09-14 |
| 1760420228 | Wellstar Internal Medicine At Paulding, LLC | Internal Medicine | 290 Merchants Sq, Suite F, Dallas, GA 30132-5029 | 2006-06-04 |
| 1750335097 | Diana R Kerwin | Internal Medicine | 8198 Walnut Hill Ln Ste 100, Dallas, TX 75231-4316 | 2006-05-20 |
| 1497395461 | Fleschler & Phillips Medical Group LLC | Internal Medicine | 8230 Walnut Hill Ln Ste 800, Dallas, TX 75231-4491 | 2020-01-08 |
| 1780179267 | Aveo Medical Group - North Texas Pllc | Internal Medicine | 8600 Skyline Dr, Suite 1000, Dallas, TX 75243 | 2018-06-26 |
| Find all providers in DALLAS | ||||
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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.