STEPHEN FAUST WAGNER (NPI# 1154583805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154583805 |
| Entity Type | Individual |
| Full Name | STEPHEN FAUST WAGNER |
| Credential | M.D. |
| Practice Address |
714 S Birch Ave Marshfield WI 54449-3326 |
| Practice Telephone | 7154869539 |
| Mailing Telephone | 7154869539 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
15689 | WI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 15689 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AW2842234 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533633 | Stephen C Wagner | Chiropractor | 5802 Se Powell Blvd, Portland, OR 97206-2826 | 2009-09-11 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| 1114396694 | Stephen Lee Wagner | Psychologist | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2015-09-15 |
| 1578981585 | Stephen Wagner | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2014-04-07 |
| 1508112061 | Stephen David Wagner | Internal Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2012-08-01 |
| 1003044173 | Stephen Thomas Wagner | Dentist | 12137 Elm St, Princess Anne, MD 21853-1358 | 2009-06-29 |
| 1063524387 | Stephen R Wagner | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-08-31 |
| 1255443412 | Stephen P Wagner | Ophthalmology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-08-31 |
| 1790710077 | Stephen Charles Wagner | Psychologist | 321 E Main St, Suite 205, Bozeman, MT 59715 | 2006-07-12 |
| 1871553644 | Stephen Anthony Wagner | Psychologist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2006-03-25 |
| Street Address |
714 S BIRCH AVE |
| City | MARSHFIELD |
| State | WI |
| Zip Code | 54449-3326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125415 | Natalia Rodriguez Luquerna | Student in an Organized Health Care Education/Training Program | 100 N Oak Ave, Marshfield, WI 54449 | 2019-07-01 |
| 1396221636 | Candace R Delis | Counselor | 252 South Central, Suite 21, Marshfield, WI 54449 | 2018-07-18 |
| 1811489206 | Gateways Counseling Services, LLC | Counselor | 1905 S Central Ave, Marshfield, WI 54449 | 2018-06-01 |
| 1821542739 | Mark Ridder | Internal Medicine | M120 Highway 97, Marshfield, WI 54449 | 2016-08-09 |
| 1295187441 | Trina D Howard | Social Worker | 501 S. Cherry Ave, Suite 5, Marshfield, WI 54449 | 2016-07-11 |
| 1427403062 | Kristi Trecartin | Speech-Language Pathologist | 100 North Oak Avenue, Marshfield, WI 54449 | 2016-05-02 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1467822759 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 1000 N. Oak Ave, Marshfield, WI 54449 | 2015-09-30 |
| 1346636743 | Jeanne Schreiner | Clinical Nurse Specialist | 611 Saint Joseph's Ave, Ministry Saint Joseph's Hospital, Marshfield, WI 54449 | 2015-04-13 |
| 1215336318 | Margaret Ann Chen | Medical Genetics, Ph.D. Medical Genetics | 3800 S. Business Park Ave., Marshfield, WI 54449 | 2014-08-14 |
| Find all providers in zip 54449 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972861623 | Luma Healthcare, Inc | Medical Genetics | 1919 W North Ave # 200, Milwaukee, WI 53205-1153 | 2012-05-01 |
| 1053408203 | Shafi Medical Center Sc | Medical Genetics | 1919 W North Ave, #200, Milwaukee, WI 53205 | 2006-10-09 |
| 1598705279 | Benigno Rafael Elejalde | Medical Genetics | 2311 W Good Hope Rd, Glendale, WI 53209-2735 | 2006-06-08 |
| 1851368013 | Richard M Pauli | Medical Genetics | 202 N Yellowstone Dr, Madison, WI 53705-2450 | 2006-03-07 |
| 1083126494 | Michael Stephen Meyn | Medical Genetics | 1111 Highland Ave, Madison, WI 53705-2275 | 2017-10-26 |
| 1780078147 | Emily Slutsky | Medical Genetics | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-03-24 |
| 1699049478 | Nada Derar | Medical Genetics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2012-02-27 |
| 1720378904 | Khoon Ghee Queenie Tan | Medical Genetics | 1500 Highland Ave, Madison, WI 53705-2274 | 2011-04-09 |
| 1811216716 | Katie B Williams | Medical Genetics | 507 S Main St, Viroqua, WI 54665-2059 | 2010-05-18 |
| 1902981657 | Gunter Hermann Scharer | Medical Genetics | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MARSHFIELD |
| Zip Code | 54449 |
Please comment or provide details below to improve the information on STEPHEN FAUST WAGNER.
| 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.