DOUGLAS E WAGNER (NPI# 1154340479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154340479 |
| Entity Type | Individual |
| Full Name | DOUGLAS E WAGNER |
| Credential | M.D. |
| Practice Address |
140 Litton Dr Ste 100 Grass Valley CA 95945-5078 |
| Mailing Address |
Po Box 459001 Grass Valley CA 95945-9101 |
| Practice Telephone | 5302729780 |
| Practice Fax Number | 5302720156 |
| Mailing Telephone | 5302729780 |
| Mailing Fax Number | 5302720156 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A26753 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679902522 | Douglas Wagner | Counselor | 889 W Main St, Centerville, MA 02632-3067 | 2013-11-01 |
| 1356302426 | Douglas Scott Wagner | Plastic Surgery | 1 Park West Blvd, Suite 350, Akron, OH 44320-4218 | 2006-03-29 |
| Street Address |
140 LITTON DR STE 100 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013932953 | Joyce Margaret Czuprynski | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-13 |
| 1386015220 | Pa Soua Xiong | Family Medicine | 140 Litton Dr Ste 100, Grass Valley, CA 95945 | 2015-10-19 |
| 1134563109 | Peter Harris | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2013-04-22 |
| 1548458839 | Sierra Nevada Primary Care | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2007-10-11 |
| 1306976543 | Emily Gallup | Marriage & Family Therapist | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2007-03-06 |
| 1235145608 | Sierra Nevada Primary Care | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-31 |
| 1427072008 | Sierra Nevada Primary Care Physicians A Medical Corporation | Nurse Practitioner | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-27 |
| 1649299959 | Joseph D Lambert | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-18 |
| 1306861273 | Sarah J Woerner | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-13 |
| 1922023845 | Michael E Curtis | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013932953 | Joyce Margaret Czuprynski | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-13 |
| 1437193315 | John Wallace Reeder | Pediatrics | 140 Litton Dr, #100, Grass Valley, CA 95945-5077 | 2006-06-15 |
| 1548458839 | Sierra Nevada Primary Care | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2007-10-11 |
| 1285786889 | Kenneth William Cutler | Pediatrics | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2007-01-17 |
| 1235145608 | Sierra Nevada Primary Care | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-31 |
| 1649299959 | Joseph D Lambert | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-18 |
| 1306861273 | Sarah J Woerner | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-13 |
| 1922023845 | Michael E Curtis | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-13 |
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|---|---|---|---|---|
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| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.