DR. KATHERINE MARY WAGNER (NPI# 1396908265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396908265 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE MARY WAGNER |
| Credential | MD |
| Practice Address |
13201 Granger Rd Ste 2 Garfield Hts OH 44125-1979 |
| Mailing Address |
24701 Euclid Ave 3rd Floor Euclid OH 44117-1714 |
| Practice Telephone | 2164758844 |
| Practice Fax Number | 2164753816 |
| Mailing Telephone | 2164758844 |
| Mailing Fax Number | 2164753816 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35-096862 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3149168 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831603158 | Katherine Ann Wagner | Occupational Therapist | 1353 E Main St, Brownsburg, IN 46112-1433 | 2017-11-22 |
| 1093125478 | Katherine Elizabeth Wagner | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2014-05-06 |
| 1538446117 | Katherine Ann Wagner | Nurse Practitioner | 2951 Fulton Ave, Sacramento, CA 95821-4909 | 2011-11-09 |
| 1205960812 | Katherine Jane Wagner | Obstetrics & Gynecology | 116 Porter Dr, Middlebury, VT 05753-8501 | 2007-03-15 |
| 1477620235 | Katherine Teresa Wagner | Nurse Anesthetist, Certified Registered | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2006-11-29 |
| 1376573923 | Katherine Leigh Wagner | Nurse Practitioner | 405 Main St, Hillsboro, MO 63050-4351 | 2006-07-03 |
| 1639134018 | Katherine Noelle Wagner | Nurse Practitioner | 1301 Pennsylvania Ave, Neonatology Office, Fort Worth, TX 76104-2122 | 2006-04-19 |
| Street Address |
13201 GRANGER RD STE 2 |
| City | GARFIELD HTS |
| State | OH |
| Zip Code | 44125-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548201148 | Lloyd Rong Kung Yeh | Emergency Medicine | 13201 Granger Rd Ste 2, Garfield Hts, OH 44125-1979 | 2006-06-08 |
| 1023252988 | Jennifer Mary Coliadis | Pediatrics | 13201 Granger Rd Ste 2, Garfield Hts, OH 44125-1979 | 2009-04-22 |
| 1659499812 | University Primary Care Practices | Pediatrics | 13201 Granger Rd Ste 2, Garfield Hts, OH 44125-1979 | 2007-03-27 |
| 1730101106 | Mark D Malinowski | Pediatrics | 13201 Granger Rd Ste 2, Garfield Hts, OH 44125-1979 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852268 | Rosemary B. Field | Registered Nurse | 12500 Mccracken Rd, Garfield Heights, OH 44125 | 2020-05-13 |
| 1720639040 | Unique Jones | Technician | 8137 Reed Ave, Garfield Hts, OH 44125 | 2019-09-27 |
| 1215404736 | Lauren Deniese Taylor | Nurse Practitioner | Marymount Hospital, 12300 Mccracken Road, Garfield Heights, OH 44125 | 2018-11-02 |
| 1023599925 | Fresenius Medical Care Garfield Heights Home, LLC | Clinic/Center | 9729 Granger Rd, Garfield Heights, OH 44125 | 2018-08-28 |
| 1306326939 | John Paul Allison | Nurse Practitioner | 12300 Mckraken Road, Garfield Heights, OH 44125 | 2018-08-14 |
| 1629573944 | Chelsee Christine Williams | Case Manager/Care Coordinator | 12395 Mccraken Rd Suite A, Garfield Heights, OH 44125 | 2018-03-28 |
| 1730605908 | Shauntae Patterson | Home Health | 8133 Garfield Blvd Upstairs, Garfield Heights, OH 44125 | 2017-08-18 |
| 1134643398 | Velma Charis George | Licensed Practical Nurse | 11414 Mccracken Road, Garfield Hts, OH 44125 | 2017-07-31 |
| 1528591450 | Joanne Biltz Biltz | Speech-Language Pathologist | 12801 Bangor, Garfield Heights, OH 44125 | 2017-04-07 |
| 1235670340 | Mike Johanek | Pharmacist | 8333 Rockside Road, Valley View, OH 44125 | 2017-03-09 |
| Find all providers in zip 44125 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023252988 | Jennifer Mary Coliadis | Pediatrics | 13201 Granger Rd Ste 2, Garfield Hts, OH 44125-1979 | 2009-04-22 |
| 1659499812 | University Primary Care Practices | Pediatrics | 13201 Granger Rd Ste 2, Garfield Hts, OH 44125-1979 | 2007-03-27 |
| 1730101106 | Mark D Malinowski | Pediatrics | 13201 Granger Rd Ste 2, Garfield Hts, OH 44125-1979 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237968 | Greater Cleveland Pediatrics | Pediatrics | 3311 Richmond Rd, Beachwood, OH 44122-4195 | 2020-08-31 |
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1447879200 | Amy C Buck | Pediatrics | 30 Kim Ct W, Westerville, OH 43081-2554 | 2020-04-13 |
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1972164556 | Grace Nikolai | Pediatrics | 9000 N Main St Ste 332, Englewood, OH 45415-1185 | 2019-06-25 |
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| 1477022606 | Anthony George Pucell | Pediatrics | 1120 Gordon Rd, Lyndhurst, OH 44124-1335 | 2018-11-16 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | GARFIELD HTS |
| Zip Code | 44125 |
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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.