HEIDI MARIA WAGNER (NPI# 1457518896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457518896 |
| Entity Type | Individual |
| Full Name | HEIDI MARIA WAGNER |
| Credential | RPH |
| Practice Address |
2333 S Center Rd Burton MI 48519-1147 |
| Mailing Address |
9163 Woodridge Dr Davison MI 48423-8392 |
| Practice Telephone | 8107449733 |
| Mailing Telephone | 8106580828 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302028617 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447702147 | Heidi Wagner | Nurse Practitioner | 50 S Main St Ste 290, Naperville, IL 60540-5485 | 2016-10-28 |
| 1366652182 | Heidi Renee' Wagner | Social Worker | 675 Hillsdowne Rd, Apt. D, Westerville, OH 43081-3322 | 2007-05-23 |
| 1184029399 | Heidi Wagner | Orthotist | 6320 N Center Dr, Bldg #15 Suite 201, Norfolk, VA 23502-4009 | 2014-10-30 |
| 1922155704 | Heidi Wagner | Counselor | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2007-01-04 |
| 1689749483 | Heidi Wagner | Optometrist | 3200 S University Dr, Nsu The Eye Institute Suite 1402, Davie, FL 33328-2018 | 2006-11-21 |
| 1861580458 | Heidi Wagner | Speech-Language Pathologist | 156 Church St, Coldwater, MI 49036-1756 | 2006-10-10 |
| Street Address |
2333 S CENTER RD |
| City | BURTON |
| State | MI |
| Zip Code | 48519-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679621312 | Early Solutions Clinic, LLC | Clinic/Center | 2333 S Center Rd, Burton, MI 48519-1147 | 2007-01-08 |
| 1457532269 | Lorna Marguerite Gallogly | Nurse Practitioner | 2333 S Center Rd, Burton, MI 48519-1147 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1821621830 | Leora Sharon Hughes | Massage Therapist | 2065 S. Center Road, Burton, MI 48519 | 2020-02-18 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1417441551 | Hurley Medical Center | Clinic/Center | 2065 S. Center Rd., Burton, MI 48519 | 2018-06-21 |
| 1851522684 | Joyce Ann Brantley | Chore Provider | 6097 Surrey Lane, Burton, MI 48519 | 2009-07-28 |
| 1992917157 | Steven J Neirink, Dpm, PC | Podiatrist | 3014 South Genesee Road, Burton, MI 48519 | 2007-05-03 |
| 1407986813 | Ellen Johnson | Psychiatry & Neurology | 4165 E Lippincott Blvd, Burton, MI 48519 | 2007-03-06 |
| 1477692036 | Meijer Inc | Durable Medical Equipment & Medical Supplies | G-2333 South Center Rd, Burton, MI 48519 | 2007-02-06 |
| 1639225923 | Trina Floyd | Dentist | 4085 S. Center Rd., Suite #2, Burton, MI 48519 | 2007-01-27 |
| 1538222823 | Genesee Family Care PC | Family Medicine | 3020 South Genesee Rd, Burton, MI 48519 | 2006-12-18 |
| Find all providers in zip 48519 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407495146 | Adam J Boice | Pharmacist | 1200 E Bristol Rd, Burton, MI 48529-2522 | 2019-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
| 1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
| 1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
| 1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
| 1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
| 1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
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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.