DR. MICHAEL ANTHONY WAGNER (NPI# 1225349665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225349665 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANTHONY WAGNER |
| Credential | D.O. |
| Practice Address |
1000 Harrington St Mount Clemens MI 48043-2920 |
| Mailing Address |
22508 Statler St Saint Clair Shores MI 48081-2365 |
| Practice Telephone | 5864938000 |
| Mailing Telephone | 2486356104 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 5101018806 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1285169037 | Michael Wagner | Student in an Organized Health Care Education/Training Program | 4316 E Avalon Dr, #11, Phoenix, AZ 85018-7245 | 2017-04-28 |
| 1235585191 | Michael Charles Wagner | Occupational Therapist | 170 2nd St S, Nampa, ID 83651-3708 | 2016-05-10 |
| 1033555362 | Michael S Wagner | Marriage & Family Therapist | 3263 Sacramento St, Suite B, San Francisco, CA 94115-2054 | 2013-05-14 |
| 1013154293 | Michael James Wagner | Counselor | 10207 E Shady Rock Ln, Tucson, AZ 85749-8162 | 2009-01-09 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| 1609903178 | Michael John Wagner | Dentist | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2007-02-28 |
| 1073655825 | Michael C Wagner II | Nurse Practitioner | 603 N Logan Ave, Danville, IL 61832-4320 | 2007-02-12 |
| 1760577340 | Michael Dale Wagner | Psychologist | 5415 Medallion Dr W, Westerville, OH 43082-9194 | 2006-10-03 |
| Street Address |
1000 HARRINGTON ST |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336335 | Richard L Reece Jr. | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2005-06-16 |
| 1033710116 | Mclaren Macomb | Rehabilitation Unit | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-04 |
| 1477154060 | Michael Dennie | Nurse Practitioner | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-02 |
| 1144828088 | Micayla Wehby | Nurse Practitioner | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-10-13 |
| 1326650516 | Dawn Miller | Social Worker | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-19 |
| 1437760246 | Sandeep Kaur | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-14 |
| 1538779475 | Kirandeep Sehmi | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-05 |
| 1669080172 | Anisha Tailor | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-21 |
| 1518575448 | Duncan George Innes | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| 1851909790 | John Murray | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427544345 | Adam Lorenzo | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1386130383 | Michael Bodine | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1447746318 | Roy Frederick Small | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1053807933 | Saad Mohammad | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1205377553 | David James Gregory | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-03-19 |
| 1093254963 | Robert Comrie | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-02-13 |
| 1962940890 | Joshua David Thomas | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-02-12 |
| 1144671967 | Jeffrey Bannister | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-22 |
| 1437509387 | Nicholas O'neill | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-21 |
| 1427408582 | Michael Dirkx | Orthopaedic Surgery | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-20 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
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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.