ANDREW J WAGNER (NPI# 1285671404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285671404 |
| Entity Type | Individual |
| Full Name | ANDREW J WAGNER |
| Credential | M.D. |
| Practice Address |
44 Binney Street Dana Farber Cancer Inst. Boston MA 02115 |
| Mailing Address |
44 Binney St Boston MA 02115-6013 |
| Practice Telephone | 6176324899 |
| Practice Fax Number | 6176323408 |
| Mailing Telephone | 6176325204 |
| Mailing Fax Number | 6176323408 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
159908 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780198416 | Andrew Howard Wagner | Physical Therapist | 120 Briggswood Dr, Elma, NY 14059-9477 | 2017-11-16 |
| 1568860401 | Andrew Anthony Wagner | Chiropractor | 103 N Choteau Ave, Hardin, MT 59034-2111 | 2014-12-09 |
| 1992072151 | Andrew Wagner | Pharmacist | 4295 County Road 12, Lafayette, AL 36862-5209 | 2011-11-16 |
| 1427130814 | Andrew Thomas Wagner | Physical Therapist | 10205 Hickory Valley Dr, Fort Wayne, IN 46835-9558 | 2006-10-19 |
| 1285722819 | Andrew Stephen Wagner | Family Medicine | 819 Longwood Ln, Sebastopol, CA 95472-2734 | 2006-10-10 |
| 1699722082 | Andrew A Wagner | Urology | Rabb 440, Beth Israel Deaconess Medical Center, Boston, MA 02215-0000 | 2006-05-30 |
| 1306802087 | Andrew Blake Wagner | Physical Therapist | 7701 West Kilgore, Ste 1a, Yorktown, IN 47396 | 2006-04-22 |
| 1619511623 | Andrew Wagner | Pharmacist | 302 Valley Hi Dr, San Antonio, TX 78227-4602 | 2019-11-01 |
| 1861058315 | Andrew John Wagner | Audiologist | 3170 N Federal Hwy Ste 115, Lighthouse Point, FL 33064-6786 | 2019-05-09 |
| 1861978819 | Andrew Wagner | Nurse Anesthetist, Certified Registered | 2823 Fresno St, Fresno, CA 93721-1324 | 2018-07-12 |
| Street Address |
44 BINNEY STREET DANA FARBER CANCER INST. |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447224613 | Shelley Rose Mccormick | Genetic Counselor, MS | 44 Binney Street, Dana-farber Cancer Institute, Boston, MA 02115 | 2006-02-15 |
| 1578718185 | Dana Farber Cancer Institute | Clinic/Center | 44 Binney Street, Dana Farber Cancer Institute, Boston, MA 02115 | 2008-11-24 |
| 1487803797 | Sewanti A Limaye | Specialist | 44 Binney Street, Sw 430, Boston, MA 02115 | 2008-09-10 |
| 1508028614 | Danielle Marie Bowers | Physician Assistant | 44 Binney Street, Dana Farber Cancer Institute, Breast Oncology Center, Boston, MA 02115 | 2008-06-30 |
| 1093994493 | William G Kaelin | Internal Medicine | 44 Binney Street, Dana Farber Cancer Institute, Boston, MA 02115 | 2007-11-01 |
| 1245306695 | Massimo F Loda | Pathology | 44 Binney Street, Dana Farber Cancer Institute Dept of Pathology, Boston, MA 02115 | 2006-11-28 |
| 1992870638 | Ursula Anne Matulonis | Internal Medicine | 44 Binney Street, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-11-21 |
| 1699851154 | Margaret Ann Shipp | Internal Medicine | 44 Binney Street, Mayer 513, Boston, MA 02115 | 2006-10-27 |
| 1114010311 | David Joseph Kwiatkowski | Internal Medicine | 44 Binney Street, Boston, MA 02115 | 2006-10-02 |
| 1619078821 | Julie M Hauer | Pediatrics | 44 Binney Street, Boston, MA 02115 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191090 | Clinton Wayne Lewis | Internal Medicine | 450 Brookline Ave # 2-058, Boston, MA 02215-5418 | 2017-08-25 |
| 1457732711 | Camille Johnson | Internal Medicine | Section of Hematology and Oncology Bu/bmc Cancer Center, Boston University 650 Albany St, Ebrc 406, Boston, MA 02118 | 2015-06-12 |
| 1457669293 | Plymouth Medal Group Inc | Internal Medicine | 71 Commercial St, Ste 307, Boston, MA 02109-1320 | 2010-09-14 |
| 1285893453 | Gabriela Soriano Hobbs | Internal Medicine | 55 Fruit St # Street1, Boston, MA 02114-2621 | 2008-06-03 |
| 1326101288 | Paula G Fraenkel | Internal Medicine | 330 Longwood Ave, Beth Israel Deaconess Medical Center, Shapiro 9, Boston, MA 02115-5746 | 2006-12-19 |
| 1790869691 | David Allen Reardon | Internal Medicine | 450 Brookline Avenue, G460f, Center for Neuro-oncology, Dana-farber Cancer Institute, Boston, MA 02215 | 2006-10-25 |
| 1417046624 | Janice G Galinsky | Internal Medicine | 55 Fruit Street Ell14, Boston, MA 02114-2696 | 2006-10-12 |
| 1841396975 | David Eric Golan | Internal Medicine | 250 Longwood Ave Rm 304c, Harvard Medical School-dept of Biological Chemistry, Boston, MA 02115 | 2006-09-16 |
| 1568566842 | Dwight Gary Gilliland | Internal Medicine | 1 Blackfan Circle, Room 5210 Childrens Hospital Research Building, Boston, MA 02115 | 2006-09-08 |
| 1861414278 | Lowell E. Schnipper | Internal Medicine | Bidmc - Division of Hematology/oncology, 330 Brookline Avenue, Rabb 430, Boston, MA 02215 | 2006-07-24 |
| Find all providers in BOSTON | ||||
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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.