RICHARD K WAGNER


Address: 903 Mineral Point Ave, Janesville, WI 53548-2970
Phone: 6087565555

RICHARD K WAGNER (NPI# 1184868598) 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) 1184868598
Entity Type Individual
Full Name RICHARD K WAGNER
Credential MD
Practice Address 903 Mineral Point Ave
Janesville
WI 53548-2970
Practice Telephone 6087565555
Practice Fax Number 6087560174
Mailing Telephone 6087565555
Mailing Fax Number 6087560174
Enumeration Date 2009-04-29
Last Update Date 2015-07-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
64250-20 WI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers RICHARD WAGNER

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1528304334 Richard Wagner Counselor 5132 Mimosa Drive, Bellaire, TX 77401 2012-12-26
1326359423 Richard Ross Wagner Pharmacist 3282 Bethel Rd Se, Port Orchard, WA 98366-5603 2010-06-23
1871814624 Richard Adam Wagner Family Medicine 295 County Hwy. 156, Johnstown, NY 12095-4123 2010-06-16
1134443559 Richard Alan Wagner Pharmacist 23631 Dane Ct, Laguna Niguel, CA 92677-4618 2010-03-15
1043470214 Richard W Wagner Jr. Dentist 123 W Franklin St, Suite 201, Chapel Hill, NC 27516-2524 2008-06-11
1962621631 Richard Wagner Specialist 1789 Rebecca Lane, Coupeville, WA 98239-0339 2007-04-24
1770700957 Richard M Wagner Dentist 1925 South Green Bay Rd, Racine, WI 53406-4654 2007-04-19
1619019676 Richard Chisholm Wagner Dentist 1150 S King St Ste 303, Honolulu, HI 96814-1951 2007-02-13
1134236334 Richard Laverne Wagner Psychiatry & Neurology 12 Benevolent St, Providence, RI 02906-1103 2006-08-24
1669488946 Richard Wagner Psychiatry & Neurology 101 Lions Dr, Suite 119, Barrington, IL 60010-3181 2006-07-31

Office Location

Street Address 903 MINERAL POINT AVE
City JANESVILLE
State WI
Zip Code 53548-2970

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811927205 Mary T. Bonaccorsi Nurse Practitioner 903 Mineral Point Ave, Janesville, WI 53548-2970 2006-07-03
1417581745 Tanya N. Olin Registered Nurse 903 Mineral Point Ave, Janesville, WI 53548-2970 2020-02-25
1396391728 Briann N. Modos Registered Nurse 903 Mineral Point Ave, Janesville, WI 53548-2970 2019-08-12
1114579364 Jessica A. Wallace Registered Nurse 903 Mineral Point Ave, Janesville, WI 53548-2970 2019-07-09
1811403769 Rachel V. Sanderson Counselor 903 Mineral Point Ave, Janesville, WI 53548-2970 2017-12-14
1972038958 Shelby L. Kandziora Counselor 903 Mineral Point Ave, Janesville, WI 53548-2970 2017-04-27
1093255929 Ashley A. Crull Psychologist 903 Mineral Point Ave, Janesville, WI 53548 2017-02-25
1639617855 Stacy M. Condon Social Worker 903 Mineral Point Ave, Janesville, WI 53548-2970 2017-02-08
1841744216 Kelly A. Janes Counselor 903 Mineral Point Ave, Janesville, WI 53548-2970 2016-08-15
1366892044 Sara J Maly Counselor 903 Mineral Point Ave, Janesville, WI 53548-2970 2016-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578846010 Patricia Ann Sheets Licensed Vocational Nurse 316 N. Terrace St., Janbesville, WI 53548 2011-09-21
1760658983 Kristy Kay Prentice Kerl Dental Hygienist 121 Jonathon Dr, Janesville, WI 53548 2008-05-07
1316005978 City of Janesville Emergency Medical Technician, Paramedic 18 N Jackson St, Janesville, WI 53548 2006-12-05
1558464115 Sarah Louise Hessenauer Social Worker 17 S. River St, Suite 254, Janesville, WI 53548 2006-09-07
1073548327 Mary Katherine Cefalu Registered Nurse 17 S. River, Suite 254, Janesville, WI 53548 2006-07-12
1699707950 Gary Lavern Jones Counselor 175 River, Suite 254, Janesville, WI 53548 2006-07-07
1295767424 Michael Stuart Kaye Clinical Neuropsychologist 17 S River St Ste 254, Janesville, WI 53548 2006-07-07
1205864055 Amy Laurie Roy Counselor 17 S River Suite 254, Janesville, WI 53548 2006-06-29
1518903566 Leota I Larson Psychologist 17 S River, Suite 254, Janesville, WI 53548 2006-06-20
1760950414 North Star Chiropractic LLC Chiropractor 21 S Jackson St, Ste 160, Janesville, WI 53548 2018-11-10
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Taxonomy Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538352323 Stephen B Hull Psychiatry & Neurology 8315 Steeple Hill Dr, Larsen, WI 54947-9538 2007-08-24
1124148747 Ivars Gailans Psychiatry & Neurology 180 N Milwaukee St, Milwaukee, WI 53202-6013 2007-03-29
1780730515 Sheila W. Sorkin, M.d. LLC Psychiatry & Neurology 11430 W Bluemound Rd, Suite 109, Wauwatosa, WI 53226-4050 2007-01-26
1568577534 Sheila W Sorkin Psychiatry & Neurology 11430 W. Bluemound Road Suite 109, Wauwatosa, WI 53226 2006-08-20
1548206360 William Carlin Bucknam Psychiatry & Neurology 1018 Gammon Ln, Madison, WI 53719-2256 2006-06-21
1205873882 Paul W Harris Psychiatry & Neurology 3267 S 16tj Street, Room 200, Milwaukee, WI 53215-4500 2006-06-01
1417461401 Jennifer Lynn Brubaker Psychiatry & Neurology 2842 S Business Dr, Sheboygan, WI 53081-6518 2017-11-29
1417322868 Prevail Psychiatry LLC Psychiatry & Neurology 2222 N Mayfair Rd, Wauwatosa, WI 53226-2208 2015-12-10
1740469873 Raymond W. Moy Md Sc Psychiatry & Neurology 6917 W Oklahoma Ave, Milwaukee, WI 53219-2973 2007-10-25
1487709200 Matthew A Felgus Psychiatry & Neurology 6333 Odana Rd, Suite 3, Madison, WI 53719-1170 2007-01-24
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Competitor

Search similar providers

City JANESVILLE
Zip Code 53548

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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