SARAH H. WAGONER (NPI# 1235280538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235280538 |
| Entity Type | Individual |
| Full Name | SARAH H. WAGONER |
| Credential | PA-C |
| Practice Address |
112 Medical Dr Elizabeth City NC 27909-3361 |
| Practice Telephone | 2523382151 |
| Practice Fax Number | 2523382505 |
| Mailing Telephone | 2523382151 |
| Mailing Fax Number | 2523382505 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 100350 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7949645 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138624 | Sarah Wagoner | Nurse Practitioner | 9300 E 29th St N Ste 204, Wichita, KS 67226-2183 | 2020-06-10 |
| 1720447683 | Sarah Wagoner | Registered Nurse | 1801 N Senate Blvd Ste 4000, Indianapolis, IN 46202-1184 | 2016-02-19 |
| 1225400930 | Sarah Wagoner | Physical Therapist | 3600 Broadway, Oakland, CA 94611-5730 | 2015-10-21 |
| 1639484413 | Sarah J Wagoner | Physical Therapist | 640 W Washington St, Pittsfield, IL 62363-1350 | 2010-08-17 |
| Street Address |
112 MEDICAL DR |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992167100 | Arielle Schreck | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2016-03-26 |
| 1467842153 | Sara Hellwege | Advanced Practice Midwife | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2015-02-02 |
| 1609162023 | Albemarle Physician Services - Sentara, Inc | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2011-06-23 |
| 1942351937 | Marianne Gradeless | Nurse Practitioner | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-01-16 |
| 1457402760 | Nancy M Meehan | Midwife | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-01-15 |
| 1215953070 | Robert O Holt | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-07-14 |
| 1649296401 | Paul Andrew Kizen | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-07-14 |
| 1174582936 | Coastal Women's Clinic, Ltd. | Specialist | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-03-21 |
| 1538135355 | Paul R Schuellein | Obstetrics & Gynecology | 112 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275070849 | Chad Boyce Lyman | Physician Assistant | 1664 Weeksville Rd # 128, Elizabeth City, NC 27909-6701 | 2017-01-20 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1740605229 | Rebecca Wallman | Physician Assistant | 1503b N Road St, Elizabeth City, NC 27909-3243 | 2014-02-20 |
| 1730285107 | Joy M Hampton | Physician Assistant | 1134 N Road St Ste 3, Elizabeth City, NC 27909-3365 | 2006-09-15 |
| 1023659554 | Chiarina Heyder | Physician Assistant | 1134 N Road St Ste 9, Elizabeth City, NC 27909-3467 | 2019-10-07 |
| 1669986857 | Pasquotank River Inpatient Services LLC | Physician Assistant | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2017-11-27 |
| 1710330428 | Old North State Emergency Physicians, LLC | Physician Assistant | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2016-07-18 |
| 1417308115 | Tartan Emergency Physicians, LLC | Physician Assistant | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2016-06-24 |
| 1255765392 | Angelo Damien Smith | Physician Assistant | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2013-08-26 |
| 1407126816 | Eric William Benedum | Physician Assistant | 615 S Hughes Blvd, Elizabeth City, NC 27909-4785 | 2012-01-03 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on SARAH H. WAGONER.
| 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.