BETH A. WAGNER (NPI# 1336104074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336104074 |
| Entity Type | Individual |
| Full Name | BETH A. WAGNER |
| Other Name | BETH TURNER |
| Credential | CRNP |
| Practice Address |
833 Chestnut Street Suite 301 Philadelphia PA 19107-4405 |
| Practice Telephone | 2159557190 |
| Practice Fax Number | 2159239186 |
| Mailing Telephone | 2159557190 |
| Mailing Fax Number | 2159239186 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP008597 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440138 | Beth Ann Wagner | Student in an Organized Health Care Education/Training Program | 1444 E Main St, Douglassville, PA 19518-9116 | 2020-09-08 |
| 1740660117 | Beth Ellen Wagner | Obstetrics & Gynecology | 800 West Ave S, La Crosse, WI 54601-8806 | 2015-06-01 |
| 1003224478 | Beth Wagner | Physical Therapy Assistant | 4645 Belpar St Nw, Canton, OH 44718-3602 | 2014-07-29 |
| 1861623084 | Beth Ann Wagner | Nurse Practitioner | 300 Pasteur Drive, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 | 2009-08-05 |
| 1871720482 | Beth Ellen Wagner | Family Medicine | 130 Fisher Rd, Hospitalist Program, Berlin, VT 05602-9516 | 2009-06-22 |
| 1033282363 | Beth Schuckman Wagner | Pharmacist | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-11-16 |
| Street Address |
833 CHESTNUT STREET SUITE 301 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716201 | Stuart Weiner | Obstetrics & Gynecology | 833 Chestnut Street, 1st Floor, Philadelphia, PA 19107-4420 | 2005-08-10 |
| 1376163899 | Joey Junarta | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2020-04-24 |
| 1467941377 | Simon Newsom | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 301, Philadelphia, PA 19107-4414 | 2018-05-07 |
| 1194212266 | Sarah Hirsh | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Department of Family Medicine, Philadelphia, PA 19107-4414 | 2018-04-15 |
| 1942737697 | Brian Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-05-12 |
| 1518493071 | Joshua Grischkan | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-05-03 |
| 1548795727 | Navdeep Sangha | Internal Medicine | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-04-26 |
| 1356876791 | Alison Greidinger | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-04-24 |
| 1033643119 | Rebecca Loh | Internal Medicine | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-04-17 |
| 1043743966 | Rebecca Prosser | Nurse Practitioner | 833 Chestnut Street, 1st Floor, Philadelphia, PA 19107-4420 | 2017-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1780185835 | Neva White | Nurse Practitioner | 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 | 2018-02-23 |
| 1790298487 | Anne Kathryn Henner | Nurse Practitioner | 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 | 2017-11-16 |
| 1174052997 | Cynthia Wheeler | Nurse Practitioner | 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 | 2017-06-06 |
| 1740716893 | Liliya Gurevich | Nurse Practitioner | 7906 Frontenac St, Philadelphia, PA 19111-2902 | 2017-05-11 |
| 1235589664 | Juliana Omile | Nurse Practitioner | 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 | 2016-06-16 |
| 1275980468 | Joji Thomas | Nurse Practitioner | 9659 Sandanne Rd, Philadelphia, PA 19115-2727 | 2016-05-18 |
| 1073988374 | Cristhi Wilson-brown | Nurse Practitioner | 521 W Girard Ave, Philadelphia, PA 19123-1428 | 2015-12-11 |
| 1932579984 | Tierney A Fisher | Nurse Practitioner | 3737 Market St Fl 10, Philadelphia, PA 19104-5545 | 2015-10-03 |
| 1306223813 | Anthony Yaroslav Fisun | Nurse Practitioner | 2008 President St, Philadelphia, PA 19115-2607 | 2015-05-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on BETH A. WAGNER.
| 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.