DR. MATTHEW STEVEN WAGNER


Address: 5225 23rd Ave S, Fargo, ND 58104-7927
Phone: 7012345933

DR. MATTHEW STEVEN WAGNER (NPI# 1164918199) 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) 1164918199
Entity Type Individual
Full Name DR. MATTHEW STEVEN WAGNER
Credential MD
Practice Address 5225 23rd Ave S
Fargo
ND 58104-7927
Practice Telephone 7012345933
Mailing Telephone 7012345933
Enumeration Date 2018-07-02
Last Update Date 2018-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine RL15231 ND Allopathic & Osteopathic Physicians

Other Providers MATTHEW WAGNER

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1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1538534334 Matthew Wagner Acupuncturist 4513 Vernon Blvd, Madison, WI 53705-4993 2015-12-04
1053749168 Matthew Wagner Counselor 545 N Mcdonough St Ste 212, Decatur, GA 30030-3310 2013-10-29
1114198751 Matthew Robert Wagner Orthopaedic Surgery 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 2008-03-21
1700415965 Matthew Anthony Wagner Student in an Organized Health Care Education/Training Program 1500 E Sherman Blvd, Muskegon, MI 49444-1849 2020-04-08
1376177048 Matthew Gary Wagner Case Manager/Care Coordinator 16 W Long St, Columbus, OH 43215-2815 2020-03-02
1235613738 Matthew James Wagner Pharmacist 17213 Cole Rd, Hagerstown, MD 21740-6981 2018-09-20
1609371244 Matthew Anthony Wagner Student in an Organized Health Care Education/Training Program 509 Biltmore Ave, Asheville, NC 28801-4601 2018-03-26
1669994752 Matthew Wagner Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2017-07-11
1174973432 Matthew Wagner Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2016-06-17

Office Location

Street Address 5225 23RD AVE S
City FARGO
State ND
Zip Code 58104-7927

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730141466 Edgardo Abad Crisostomo Psychiatry & Neurology 5225 23rd Ave S, Fargo, ND 58104 2006-04-06
1881295814 Kelsey Kincaid Dietitian, Registered 5225 23rd Ave S, Fargo, ND 58104-7927 2020-11-05
1598365819 Hannah Muehlberg Occupational Therapist 5225 23rd Ave S, Fargo, ND 58104-7927 2020-10-27
1174120281 Sanford Medical Center Fargo Pharmacy 5225 23rd Ave S, Fargo, ND 58104-7927 2020-10-02
1932714169 Ashraf Al-tarifi Internal Medicine 5225 23rd Ave S, Fargo, ND 58104-7927 2020-09-14
1821609116 Heidi Nelson Occupational Therapist 5225 23rd Ave S, Fargo, ND 58104-7927 2020-08-11
1689284671 Lindsay Raye Busse Nurse Practitioner 5225 23rd Ave S, Fargo, ND 58104-7927 2020-08-04
1356950752 Jordan Mallery Internal Medicine 5225 23rd Ave S, Fargo, ND 58104-7927 2020-07-31
1093324014 Dalton James Peaslee Internal Medicine 5225 23rd Ave S, Fargo, ND 58104-7927 2020-07-27
1285243543 Mathew Gerving Internal Medicine 5225 23rd Ave S, Fargo, ND 58104-7927 2020-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043837347 Pinnacle Therapy & Wellness, Pllc Physical Therapist 4500 36th Ave S Suite 100, Fargo, ND 58104 2020-07-02
1619509858 Patricia Helen Bathie Counselor 4243 Auburn Ave., Fargo, ND 58104 2020-02-05
1346892866 Elizabeth Olis Registered Nurse 2633 55th St. S, Apartment 202, Fargo, ND 58104 2019-07-15
1780247023 Keith Kirimi Ndege Physical Therapy Assistant 5225 23rd Ave South, Fargo, ND 58104 2019-04-22
1346728557 Ms4 Pllc Pharmacy 4476 31st Avenue South, Suite #105, Fargo, ND 58104 2018-07-31
1891286977 Jessica Rae Majidian Dentist 3030 49th St S, Fargo, ND 58104 2018-05-23
1821588500 Alissa Nichole Larson Pharmacist 5675 26th Ave S St. 136a, Fargo, ND 58104 2018-05-17
1790297430 Northern Lights Dental Dentist 4150 19th Ave S, Suite 301, Fargo, ND 58104 2017-11-03
1619406733 Cobalt Rehabilitation Hospital Fargo LLC Rehabilitation Hospital 4671 38th Street S, Fargo, ND 58104 2017-06-12
1790210318 Homefield Health, LLC Clinic/Center 4141 31st Ave S., Ste 102, Fargo, ND 58104 2017-04-21
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184142747 Kayla Estepp Internal Medicine 737 Broadway North, Fargo, ND 58122 2017-09-05
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1700238714 Youstina Michael Internal Medicine 408 Roberts St N Apt 208, Fargo, ND 58102-4599 2016-07-01
1164834289 Joshua Jost Internal Medicine Broadway N, 801, Fargo, ND 58122-0170 2014-05-22
1659782258 Sarah Fanai Internal Medicine Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 2014-05-16
1447696406 Mohamad Imam Internal Medicine 801 Broadway North, Fargo, ND 58122 2013-05-17
1316383383 Janya Swami Internal Medicine Sanford Health System 801 Broadway N, Fargo, ND 58122-0170 2013-05-17
1922361716 Sanford Clinic North Internal Medicine 2960 Seter Pkwy, Fargo, ND 58104-8692 2012-06-18
1912273418 Eric Priyakumar Ragland Internal Medicine Essentia Health, 3000 32nd Ave S, Fargo, ND 58104 2012-03-29
1811153802 Suzanne L Vargot Internal Medicine 2102 Elm Str North, Dept of Veterans Affairs Medical Center, Fargo, ND 58102-2498 2008-07-30
Find all providers in FARGO

Competitor

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City FARGO
Zip Code 58104

Improve Information

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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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