KRIS ADWARDS VANWAGNER (NPI# 1497944813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497944813 |
| Entity Type | Individual |
| Full Name | KRIS ADWARDS VANWAGNER |
| Credential | D.O. |
| Practice Address |
49 Lawrence Ave Potsdam NY 13676-1889 |
| Mailing Address |
50 Leroy St Potsdam NY 13676-1786 |
| Practice Telephone | 3152749085 |
| Practice Fax Number | 3152749084 |
| Mailing Telephone | 3152749085 |
| Mailing Fax Number | 3152749084 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2012-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 246425 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
49 LAWRENCE AVE |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295710358 | John Sparrow Duffy | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676 | 2005-12-13 |
| 1073159083 | Caitlyn Maskell | Physical Therapist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2019-11-25 |
| 1982103354 | Sarah Elizabeth Collins | Speech-Language Pathologist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2018-02-12 |
| 1093230229 | Rebecca Ann Martin | Physical Therapist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2017-08-09 |
| 1225579626 | Sonja J Kocan | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2017-03-17 |
| 1366891632 | Mallory Sprague | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2016-06-08 |
| 1619342243 | Amanda Ross | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2015-12-08 |
| 1073994968 | Ashley Grimshaw | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676 | 2015-06-16 |
| 1669870259 | Martha Pickard Palmer | Nutritionist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2014-12-12 |
| 1184054371 | Amy B Mangual | Registered Nurse | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2013-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657888 | Gary E Torbey | Ophthalmology | 12 Elm St, Potsdam, NY 13676 | 2005-05-31 |
| 1881920114 | Daniel J Litwicki | Ophthalmology | 12 Main Street, Potsdam, NY 13676-3545 | 2009-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
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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.