FREDERICK L WAGNER (NPI# 1437126984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437126984 |
| Entity Type | Individual |
| Full Name | FREDERICK L WAGNER |
| Credential | PA |
| Practice Address |
33 Chandler Ave Batavia NY 14020-1611 |
| Practice Telephone | 5853439676 |
| Practice Fax Number | 5853431047 |
| Mailing Telephone | 5853439676 |
| Mailing Fax Number | 5853431047 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
004282-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013052257 | Frederick Joseph Wagner Jr. | Optometrist | 101 Kimball Rd, Carlisle, MA 01741 | 2007-02-21 |
| 1770589053 | Frederick Wagner | Anesthesiology | 5921 Meridian Woods Drive, Glen Carbon, IL 62034-1545 | 2005-06-22 |
| Street Address |
33 CHANDLER AVE |
| City | BATAVIA |
| State | NY |
| Zip Code | 14020-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497721153 | Matthew J Landfried | Orthopaedic Surgery | 33 Chandler Ave, Batavia, NY 14020-1611 | 2006-02-23 |
| 1639665680 | Rachel Josephine Egan | Physician Assistant | 33 Chandler Ave, Batavia, NY 14020-1684 | 2018-07-02 |
| 1174017594 | Allison Mazurek | Physician Assistant | 33 Chandler Ave, Batavia, NY 14020-1684 | 2018-06-19 |
| 1528415114 | Kincso Ilona Borgyos | Advanced Practice Midwife | 33 Chandler Ave, 3rd Floor, Batavia, NY 14020-1684 | 2016-05-24 |
| 1780042952 | Kyle Heassler | Physician Assistant | 33 Chandler Ave, Batavia, NY 14020-1684 | 2016-02-03 |
| 1093173205 | Steven M Blount | Physician Assistant | 33 Chandler Ave, Batavia, NY 14020-1684 | 2016-02-02 |
| 1578983698 | Nicholas Valente | Orthopaedic Surgery | 33 Chandler Ave, Batavia, NY 14020-1684 | 2014-04-17 |
| 1508908476 | Donna Sabers | Physical Therapist | 33 Chandler Ave, Batavia, NY 14020-1684 | 2007-02-13 |
| 1326158833 | Nicholas J Loffredo | Orthopaedic Surgery | 33 Chandler Ave, Batavia, NY 14020-1684 | 2006-08-30 |
| 1306858188 | Courtenay L Diehl | Obstetrics & Gynecology | 33 Chandler Ave, Batavia, NY 14020-1684 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1770195604 | Mary M Pallister | Licensed Practical Nurse | 25 Liberty Street, Batavia, NY 14020 | 2020-08-21 |
| 1942824628 | Andrew J Burns | Registered Nurse | Ummc, 127 North St, Batavia, NY 14020 | 2020-05-29 |
| 1982241279 | Lucas Phillips | Physical Therapist | 99 Medtech Dr. Suite 104, Batavia, NY 14020 | 2019-12-05 |
| 1235776519 | Charles Foley | Physical Therapist | 99 Medtech Drive Sutie 104, Batavia, NY 14020 | 2019-12-05 |
| 1609350339 | Aimee E Landino | Physical Therapist | 99 Medtech Park, Suite 104, Batavia, NY 14020 | 2018-09-19 |
| 1225558463 | Wound Doctors of Ny Pllc | Surgery | 229 Summit Street, Suite 10, Batavia, NY 14020 | 2017-06-20 |
| 1780125468 | Sherrity L Disanto | Licensed Practical Nurse | 42 Clinton Street, Batavia, NY 14020 | 2017-03-15 |
| 1972041853 | Christine Faust | Student in an Organized Health Care Education/Training Program | 5120 East Main St. Rd., Suite 2, Batavia, NY 14020 | 2017-02-10 |
| 1326581000 | Genesee Center Operating | Skilled Nursing Facility | 278 Batavia Street, Batavia, NY 14020 | 2016-11-29 |
| Find all providers in zip 14020 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528020005 | Genesee Orthopaedics and Sports Medicine, LLP | Orthopaedic Surgery | 33 Chandler Ave, Batavia, NY 14020-1611 | 2006-04-03 |
| 1952377251 | Valerie S. T. Huck | Orthopaedic Surgery | 33 Chandler Ave, Batavia, NY 14020-1611 | 2006-02-27 |
| 1588630123 | Laurie M Kotowski | Orthopaedic Surgery | 33 Chandler Ave, Batavia, NY 14020-1611 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057347 | Viorika Chebotaru | Orthopaedic Surgery | 626 Sheepshead Bay Rd, Brooklyn, NY 11224-3602 | 2019-11-11 |
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1891258349 | Empire Ny Orthopedics PC | Orthopaedic Surgery | 22215 Northern Blvd Ste Lobbya, Bayside, NY 11361-3678 | 2019-04-11 |
| 1821566688 | Chelsea Rose Weir | Orthopaedic Surgery | 379 Oakwood Rd Ste C, Huntington Station, NY 11746-7203 | 2018-11-08 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1992201222 | Scott Adam Weiss Md PC | Orthopaedic Surgery | 672 Harless Pl, West Hempstead, NY 11552-3504 | 2018-04-04 |
| 1467965095 | Melissa Pei-lih Mau | Orthopaedic Surgery | 2800 Marcus Ave Ste 102, New Hyde Park, NY 11042-1113 | 2017-11-06 |
| 1821476698 | Stephanie M Macdonald | Orthopaedic Surgery | 1672 Empire Blvd Ste 100, Webster, NY 14580-2199 | 2015-05-13 |
| 1710380118 | Stony Brook University | Orthopaedic Surgery | Toll Dr Bldg 39, Stony Brook, NY 11794-0001 | 2014-09-30 |
| 1083029623 | Michael J. Katz Md PC | Orthopaedic Surgery | 14653 Delaware Ave, Flushing, NY 11355-2182 | 2014-06-23 |
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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.