KATHRYN WAGNER (NPI# 1366860009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366860009 |
| Entity Type | Individual |
| Full Name | KATHRYN WAGNER |
| Credential | MD |
| Practice Address |
3101 Sw 13th Ave Apt 19 Portland OR 97239-3071 |
| Practice Telephone | 5035502870 |
| Mailing Telephone | 5035502870 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 582526 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867051 | Kathryn Irene Wagner | Psychologist | Washington Dc Va Medical Center 50 Irving Street Nw, Washington, DC 20422-0001 | 2018-04-03 |
| 1598297756 | Kathryn Emily Wagner | Student in an Organized Health Care Education/Training Program | Op Bldg 7th Floor W Rm S7237, 263 Farmington Ave, Farmington, CT 06030-8073 | 2017-03-28 |
| 1245678200 | Kathryn P Wagner | Occupational Therapy Assistant | 1567 Westview Ct, Laramie, WY 82070-6081 | 2013-06-11 |
| 1255618211 | Kathryn Ann Wagner | Home Health | 6572 Powers Rd, Orchard Park, NY 14127-4804 | 2011-11-04 |
| 1043508617 | Kathryn R Wagner | Radiology | 10 Belvidere Ave, Worcester, MA 01605 | 2011-07-18 |
| 1427584564 | Kathryn Ann Wagner | Chiropractor | 2917 Highway K, Ste F, O Fallon, MO 63368-7979 | 2017-05-10 |
| 1952686719 | Kathryn A Wagner | Social Worker | 107 Commercial St, Mashpee, MA 02649-6507 | 2011-10-12 |
| 1093046716 | Kathryn Ellen Wagner | Counselor | 2500 W 4th St, Wilmington, DE 19805-3367 | 2010-01-20 |
| 1902044423 | Kathryn Ann Wagner | Physical Therapist | 1305 Dantignac St, Augusta, GA 30901-2774 | 2009-01-22 |
| 1790827053 | Kathryn A Wagner | Physician Assistant | 1500 East Medical Center Dr, 3rd Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 | 2007-02-13 |
| Street Address |
3101 SW 13TH AVE APT 19 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764485 | Columbia Neurosurgical Trauma, LLC | Neurological Surgery | 1040 Nw 22nd Ave Ste 630, Portland, OR 97210-3041 | 2017-11-29 |
| 1194178590 | Philippe Magown | Neurological Surgery | 3303 Sw Bond Ave # Ch8n, Department of Neurological Surgery, Ohsu, Portland, OR 97239-4501 | 2016-07-20 |
| 1922475813 | Willliam Leonard Debolt | Neurological Surgery | 7419 Nw Cornell Rd, Portland, OR 97229-6901 | 2015-08-26 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| 1699038323 | James Steve Heiden | Neurological Surgery | 2496 Nw 141st Pl, Portland, OR 97229-7078 | 2012-06-18 |
| 1942578026 | Nw Neurosurgery LLC | Neurological Surgery | 311 Nw 12th Ave Unit 1003, Portland, OR 97209-2995 | 2011-12-05 |
| 1306005319 | Hatem Adel Sabry | Neurological Surgery | 3181 Sw Sam Jackson Park Rd # L579, Portland, OR 97239-3011 | 2008-06-04 |
| 1639374440 | Frederick T Waller Md PC | Neurological Surgery | 9155 Sw Barnes Rd Ste 211, Portland, OR 97225-6629 | 2007-06-20 |
| 1356550206 | Ahmed M. Raslan | Neurological Surgery | 3181 Sw Sam Jackson Road, Portland, OR 97239 | 2007-05-21 |
| 1265640833 | Donald L Mulconrey | Neurological Surgery | 9155 Sw Barnes Rd Ste 210, Portland, OR 97225-6629 | 2007-05-18 |
| Find all providers in PORTLAND | ||||
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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.