RANDALL K WAGMAN MD APMC (NPI# 1396951307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396951307 |
| Entity Type | Organization |
| Organization Name | RANDALL K WAGMAN MD APMC |
| Practice Address |
2345 Sampson St Westlake LA 70669-2711 |
| Practice Telephone | 3374391484 |
| Practice Fax Number | 3374300927 |
| Mailing Telephone | 3374391484 |
| Mailing Fax Number | 3374300927 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDALL WAGMAN (OWNER) |
| Authorized Official Telephone | 3374391484 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11202R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1945323 | 05 |
| Street Address |
2345 SAMPSON ST |
| City | WESTLAKE |
| State | LA |
| Zip Code | 70669-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568592368 | Jody Robert George | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-03-07 |
| 1609191113 | Ramona Leigh Whittington | Nurse Practitioner | 2345 Sampson St, Westlake, LA 70669-2711 | 2010-03-29 |
| 1467675462 | The Family Care Center of Southwest Louisiana, LLC | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346746757 | Michael Ogea | Family Medicine | 2200 Old Spanish Trail, Westlake, LA 70669 | 2018-04-04 |
| 1215310453 | Jordan Stein Broussard | Nurse Practitioner | 3301 Old Spanish Trail, Westlake, LA 70669 | 2015-07-07 |
| 1518242296 | Eastman Chiropractic Clinic | Chiropractor | 902 Sampson Street, Westlake, LA 70669 | 2011-10-13 |
| 1598829269 | Paul Dean Vidrine | Dentist | 902a Shady Ln, Westlake, LA 70669 | 2006-12-20 |
| 1629389101 | Vonda Flue | Occupational Therapist | 924 Live Oak St, Westlake, LA 70669-3209 | 2010-06-29 |
| 1477864338 | Rita Rae Fontenot | Podiatrist | 1403 Beech St, Westlake, LA 70669-4101 | 2010-06-25 |
| 1164924361 | Charles David Colley | Pharmacist | 1514 Sampson St # 1, Westlake, LA 70669-4632 | 2018-03-02 |
| 1396050241 | Nicole L Veillon | Pharmacist | 1514 Sampson St, Westlake, LA 70669-4632 | 2010-08-16 |
| 1295166908 | Freds Stores of Tennessee Inc. | Pharmacy | 1514 Sampson St, Westlake, LA 70669-4632 | 2013-12-05 |
| 1992817845 | St Francis Business LLC | Pharmacy | 820 Mckinley St, Westlake, LA 70669-5300 | 2006-08-31 |
| Find all providers in zip 70669 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501067 | Stephanie Shoop | Family Medicine | 29000 Center Ridge Rd Ste 150, Westlake, OH 44145-5219 | 2019-04-29 |
| 1346746757 | Michael Ogea | Family Medicine | 2200 Old Spanish Trail, Westlake, LA 70669 | 2018-04-04 |
| 1295121036 | Gloria Ann Johns | Family Medicine | 26908 Detroit Rd Ste 201, Westlake, OH 44145-2399 | 2015-04-08 |
| 1730474040 | Muna Michelle Orra | Family Medicine | 29099 Health Campus Dr Ste 370, Westlake, OH 44145-5226 | 2011-06-15 |
| 1568592368 | Jody Robert George | Family Medicine | 2345 Sampson St, Westlake, LA 70669-2711 | 2007-03-07 |
| 1184723017 | Satesh Waghray | Family Medicine | 25651 Detroit Rd #304, Westlake, OH 44145 | 2006-09-21 |
| 1699722702 | Randy Peter Plona | Family Medicine | 960 Clague Rd Ste 1100b, Westlake, OH 44145-1590 | 2006-05-27 |
| 1780634279 | Premier Physicians Centers, Inc. | Family Medicine | 24500 Center Ridge Rd Ste 375, Westlake, OH 44145-5631 | 2006-05-12 |
| 1821065087 | Brooke E Hohn | Family Medicine | 24651 Center Ridge Rd, Suite 325, Westlake, OH 44145-5635 | 2006-03-07 |
| 1740260587 | Stacy Ann Schmotzer | Family Medicine | 29325 Health Campus Dr Ste 3, Westlake, OH 44145-8201 | 2006-01-18 |
| Find all providers in WESTLAKE | ||||
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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.