KARLA MONTGOMERY WAGNER (NPI# 1407815038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407815038 |
| Entity Type | Individual |
| Full Name | KARLA MONTGOMERY WAGNER |
| Other Name | KARLA MONTGOMERY-WAGNER |
| Credential | MD |
| Practice Address |
2111 Laurel Bush Rd Suite H Bel Air MD 21015-6156 |
| Practice Telephone | 4105693300 |
| Practice Fax Number | 4105152027 |
| Mailing Telephone | 4105693300 |
| Mailing Fax Number | 4105152027 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0045592 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376627 | Karla Kay Wagner | Counselor | 3309 31st Street, Columbus, NE 68601 | 2015-05-26 |
| 1104310978 | Karla Wagner | Social Worker | 2100 Raybrook St Se Ste 203, Grand Rapids, MI 49546-5783 | 2018-06-15 |
| 1942395652 | Karla Lee Wagner | Obstetrics & Gynecology | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2006-10-04 |
| 1538147681 | Karla J Wagner | Nurse Anesthetist, Certified Registered | 520 S Santa Fe Ave, Suite 260, Salina, KS 67401-4190 | 2006-01-07 |
| Street Address |
2111 LAUREL BUSH RD SUITE H |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-6156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067475 | Mary Teddy Wray | Dentist | 2111 Laurel Bush Rd, Suite E, Bel Air, MD 21015-6156 | 2005-10-14 |
| 1780299966 | Siavash Sadeghi Sedigh | Dentist | 2111 Laurel Bush Rd, Bel Air, MD 21015-6156 | 2020-09-14 |
| 1174064752 | Jennifer L Mandel | Nurse Practitioner | 2111 Laurel Bush Rd, Suite H, Bel Air, MD 21015 | 2017-03-15 |
| 1720482698 | Julianne Johnson | Nurse Practitioner | 2111 Laurel Bush Rd, Bel Air, MD 21015-6156 | 2014-10-21 |
| 1578792784 | Jessica Zeller | Nurse Practitioner | 2111 Laurel Bush Rd, Suite H, Bel Air, MD 21015-6156 | 2009-07-09 |
| 1326180324 | Laurel Bush Family Dentistry | Dentist | 2111 Laurel Bush Rd, Ste E, Bel Air, MD 21015 | 2007-02-13 |
| 1962461293 | Paul Thomas Rogers | Pediatrics | 2111 Laurel Bush Rd, Suite H, Bel Air, MD 21015-6156 | 2006-03-23 |
| 1881663888 | Select Physical Therapy Holdings Inc | Clinic/Center | 2111 Laurel Bush Rd, Ste G, Bel Air, MD 21015-6156 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| 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 |
|---|---|---|---|---|
| 1407110364 | Tanisha Powell | Pediatrics | 4c North Ave Ste 400, Bel Air, MD 21014 | 2012-06-26 |
| 1508020348 | Taryn Winkle | Pediatrics | 615 W Mac Phail Rd St, Suite 107, Bel Air, MD 21014 | 2008-07-10 |
| 1992964555 | David F Sulkowski | Pediatrics | 2111 Laurel Bush Road, Suite H, Bel Air, MD 21015 | 2008-06-08 |
| 1912120916 | Bright Oaks Pediatric Center, LLC | Pediatrics | 2111 Laurel Bush Rd Ste H, Bel Air, MD 21015-6156 | 2007-04-10 |
| 1407980717 | Gomez Yim & Rastogi, M.d., P.a. | Pediatrics | 602 S. Atwood Road, Suite 104, Bel Air, MD 21014 | 2007-03-16 |
| 1609849769 | Beverly Ann Tyler | Pediatrics | 104 Plumtree Road, Suite 115, Bel Air, MD 21015-5901 | 2006-02-09 |
| 1891179404 | Vibha Chikkatur Murthy | Pediatrics | 604 Hoagie Dr, Bel Air, MD 21014-1884 | 2015-07-13 |
| 1437538808 | Amanda Nicole Malinou | Pediatrics | 4c North Ave Ste 400, Bel Air, MD 21014 | 2015-05-19 |
| 1689091597 | Christine Yang | Pediatrics | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2014-03-28 |
| 1851634380 | Brenda M Prindle | Pediatrics | 500 Upper Chesapeake Dr, Pediatric Hospitalist Dept, Bel Air, MD 21014-4324 | 2013-04-03 |
| Find all providers in BEL AIR | ||||
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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.