RICHARD A WAGNER (NPI# 1417032079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417032079 |
| Entity Type | Individual |
| Full Name | RICHARD A WAGNER |
| Credential | M.D |
| Practice Address |
1601 W. St. Mary's Rd Tucson AZ 85745-2623 |
| Mailing Address |
630 N. Alvernon Way Suite 220 Tucson AZ 85711 |
| Practice Telephone | 5208723000 |
| Mailing Telephone | 5206478850 |
| Mailing Fax Number | 5206478851 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 26957 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 526642 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528304334 | Richard Wagner | Counselor | 5132 Mimosa Drive, Bellaire, TX 77401 | 2012-12-26 |
| 1326359423 | Richard Ross Wagner | Pharmacist | 3282 Bethel Rd Se, Port Orchard, WA 98366-5603 | 2010-06-23 |
| 1871814624 | Richard Adam Wagner | Family Medicine | 295 County Hwy. 156, Johnstown, NY 12095-4123 | 2010-06-16 |
| 1134443559 | Richard Alan Wagner | Pharmacist | 23631 Dane Ct, Laguna Niguel, CA 92677-4618 | 2010-03-15 |
| 1043470214 | Richard W Wagner Jr. | Dentist | 123 W Franklin St, Suite 201, Chapel Hill, NC 27516-2524 | 2008-06-11 |
| 1962621631 | Richard Wagner | Specialist | 1789 Rebecca Lane, Coupeville, WA 98239-0339 | 2007-04-24 |
| 1770700957 | Richard M Wagner | Dentist | 1925 South Green Bay Rd, Racine, WI 53406-4654 | 2007-04-19 |
| 1619019676 | Richard Chisholm Wagner | Dentist | 1150 S King St Ste 303, Honolulu, HI 96814-1951 | 2007-02-13 |
| 1134236334 | Richard Laverne Wagner | Psychiatry & Neurology | 12 Benevolent St, Providence, RI 02906-1103 | 2006-08-24 |
| 1669488946 | Richard Wagner | Psychiatry & Neurology | 101 Lions Dr, Suite 119, Barrington, IL 60010-3181 | 2006-07-31 |
| Street Address |
1601 W. ST. MARY'S RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598737074 | Marcel P Garr | Physician Assistant | 1601 W. St. Mary's Rd, Tucson, AZ 85745-2623 | 2006-02-07 |
| 1356599013 | Chad R Stadheim | Emergency Medicine | 1601 W. St. Mary's Rd, Department of Emergency Medicine, Tucson, AZ 85745-2623 | 2008-09-05 |
| 1851552368 | Lisa Anne Tarris | Emergency Medicine | 1601 W. St. Mary's Rd, Room 1107g West Wing, Tucson, AZ 85745-2623 | 2008-06-18 |
| 1982888962 | Alicia F Aguilar | Nurse Practitioner | 1601 W. St. Mary's Rd, Tucson, AZ 85745-2623 | 2007-12-26 |
| 1164602215 | Lisa A Briggs | Nurse Practitioner | 1601 W. St. Mary's Rd, Tucson, AZ 85745-2623 | 2007-11-06 |
| 1346442191 | David Roy Pickavance | Physical Therapist | 1601 W. St. Mary's Rd, St. Mary's Hospital, Tucson, AZ 85745 | 2007-06-04 |
| 1164631420 | Adrienne Alice Yarnish | Emergency Medicine | 1601 W. St. Mary's Rd, Tucson, AZ 85745-2623 | 2007-05-22 |
| 1679615488 | Sonia Elizabeth Evans | Counselor | 1601 W. St. Mary's Rd, Tucson, AZ 85745 | 2007-02-12 |
| 1023182052 | Nelson Ricardo Rosario-leon | Psychiatry & Neurology | 1601 W. St. Mary's Rd, Unit 2 North St. Mary's Hospital, Tucson, AZ 85795 | 2006-11-20 |
| 1821170051 | Mikklena M Matthews | Physician Assistant | 1601 W. St. Mary's Rd, Tucson, AZ 85745-2623 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1487181491 | Alexander Joseph Tomesch | Emergency Medicine | 655 N Alvernon Way Ste 228, Tucson, AZ 85711-1853 | 2017-05-22 |
| 1245689108 | Mary Logsdon | Emergency Medicine | 1842 E. Elm St., Tucson, AZ 85719 | 2016-06-10 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1811377476 | Nicholas Hernandez | Emergency Medicine | 3950 S Country Club Rd Ste 200, Tucson, AZ 85714-2227 | 2015-06-08 |
| 1710366851 | Justin Eales | Emergency Medicine | Banner University Medical Center 1501 N Ave, Tucson, AZ 85724-0001 | 2015-05-21 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| Find all providers in TUCSON | ||||
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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.