WAGNER CHIROPRACTIC PA (NPI# 1346420114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346420114 |
| Entity Type | Organization |
| Organization Name | WAGNER CHIROPRACTIC PA |
| Practice Address |
2755 S Bay St Suite D Eustis FL 32726-6587 |
| Practice Telephone | 3525895443 |
| Practice Fax Number | 3525895549 |
| Mailing Telephone | 3525895443 |
| Mailing Fax Number | 3525895549 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | DR. RAMAH J WAGNER (PHYSICIAN) |
| Authorized Official Telephone | 3525895543 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH8955 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD FL | 96871 | 01 |
| Street Address |
2755 S BAY ST SUITE D |
| City | EUSTIS |
| State | FL |
| Zip Code | 32726-6587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578690178 | Ramah J Wagner | Chiropractor | 2755 S Bay St, Suite D, Eustis, FL 32726-6587 | 2007-02-28 |
| 1508001801 | George Alan Boone | Hearing Instrument Specialist | 2755 S Bay St, Ste F, Eustis, FL 32726-6587 | 2008-12-16 |
| 1548425705 | Joan Sabula | Massage Therapist | 2755 S Bay St, Suite E, Eustis, FL 32726-6587 | 2008-07-26 |
| 1295914380 | Vera Prchal Stefanac | Obstetrics & Gynecology | 2755 S Bay St, Unit E, Eustis, FL 32726-6587 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508497637 | Alton Emory Kinlaw | Pharmacist | 99 Hillside Drive, Eustis, FL 32726 | 2020-01-28 |
| 1053833426 | Nalia Elizabeth Alicea | Behavioral Analyst | 949 Marietta Lane, Eustis, FL 32726 | 2017-07-07 |
| 1760840938 | Beautiful Angels LLC | Exclusive Provider Organization | 2208 Virginia Avenue, Eustis, FL 32726 | 2016-02-03 |
| 1902274624 | Breakthrough Transitions LLC | Social Worker | 2201 S. Bay Street, Suite B-2, Eustis, FL 32726 | 2015-09-11 |
| 1104223916 | Integrative Physical Medicine of Mount Dora LLC | Specialist | 2818 S Bay St, Eustis, FL 32726 | 2014-11-21 |
| 1154763290 | Irina N Krasilova | Pharmacist | 1950 Sr 19 N, Eustis, FL 32726 | 2013-07-17 |
| 1063773679 | Mangalmurti LLC | Pharmacy | 17435 Us Highway 441, Suite-102, Eustis, FL 32726 | 2012-05-31 |
| 1477813806 | My Darling Angels Home Companion Services | Private Vehicle | 102 Morningview Dr, Eustis, FL 32726 | 2012-05-18 |
| 1801166186 | Akhlaqus Chowdhury | Pharmacist | 2005 North Sr 19, Eustis, FL 32726 | 2012-01-04 |
| 1316269244 | Kamlesh Patel | Pharmacist | 2705 Cotton Ct, Eustis, FL 32726 | 2010-02-19 |
| Find all providers in zip 32726 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073885109 | Bonnie Lynn Barnhart | Chiropractor | 14 N Eustis St, Eustis, FL 32726-3408 | 2012-02-06 |
| 1578690178 | Ramah J Wagner | Chiropractor | 2755 S Bay St, Suite D, Eustis, FL 32726-6587 | 2007-02-28 |
| 1215034558 | Vilam Benahim | Chiropractor | 925 Bay St., Eustis, FL 32726 | 2006-09-20 |
| 1770521296 | A.c.m.c. Ventures, L.L.C. | Chiropractor | 15016 Us Highway 441, Eustis, FL 32726-6589 | 2006-06-04 |
| 1710933528 | Mark T Zimmerman | Chiropractor | 2701 Kurt St, Eustis, FL 32726-6515 | 2006-05-25 |
| 1316925084 | Gary Kent Stoltz | Chiropractor | 2105 Prevatt St, Eustis, FL 32726-6131 | 2006-01-04 |
| 1063770584 | Bryan Kent Stoltz | Chiropractor | 2105 Prevatt St, Eustis, FL 32726-6131 | 2012-05-03 |
| 1609153311 | Gary K Stoltz, D.c., P.a. | Chiropractor | 2105 Prevatt St, Eustis, FL 32726-6131 | 2011-11-09 |
| 1245243021 | Rick Dale Brown | Chiropractor | 2701 Kurt St, Eustis, FL 32726-6515 | 2006-08-14 |
| 1679597124 | Keyur Krishna Patel | Chiropractor | 15016 Us Highway 441, Eustis, FL 32726-6589 | 2006-07-27 |
| Find all providers in EUSTIS | ||||
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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.