STEPHEN DAVID WAGNER (NPI# 1508112061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508112061 |
| Entity Type | Individual |
| Full Name | STEPHEN DAVID WAGNER |
| Credential | M.D. |
| Practice Address |
3214 E Race Ave Searcy AR 72143-4810 |
| Practice Telephone | 5012686121 |
| Mailing Telephone | 5012686121 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2018-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | E-9654 | AR | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | E-9654 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 214517001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533633 | Stephen C Wagner | Chiropractor | 5802 Se Powell Blvd, Portland, OR 97206-2826 | 2009-09-11 |
| 1154583805 | Stephen Faust Wagner | Medical Genetics | 714 S Birch Ave, Marshfield, WI 54449-3326 | 2008-06-25 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| 1114396694 | Stephen Lee Wagner | Psychologist | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2015-09-15 |
| 1578981585 | Stephen Wagner | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2014-04-07 |
| 1003044173 | Stephen Thomas Wagner | Dentist | 12137 Elm St, Princess Anne, MD 21853-1358 | 2009-06-29 |
| 1063524387 | Stephen R Wagner | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-08-31 |
| 1255443412 | Stephen P Wagner | Ophthalmology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-08-31 |
| 1790710077 | Stephen Charles Wagner | Psychologist | 321 E Main St, Suite 205, Bozeman, MT 59715 | 2006-07-12 |
| 1871553644 | Stephen Anthony Wagner | Psychologist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2006-03-25 |
| Street Address |
3214 E RACE AVE |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871578500 | Jonathan C. Robertson | Emergency Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2005-12-15 |
| 1285255075 | Robert Johnson | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-05-03 |
| 1013538115 | Joseph S. Abraham | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-29 |
| 1992324024 | Pranitha Chekka | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-09 |
| 1073132189 | David Scott Zehnder | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-09 |
| 1235768581 | Nathan Hunter Armstrong | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1023647310 | Raymond Joshua Quilao | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1609405026 | Kinan J Abou-kassem | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-07 |
| 1275162737 | Marcus Hudson | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-06 |
| 1902435530 | Anna Figueiredo | Student in an Organized Health Care Education/Training Program | 3214 E Race Ave, Searcy, AR 72143-4810 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
| Find all providers in zip 72143 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053662890 | White County Medical Center | Hospitalist | 3214 E Race Ave, Searcy, AR 72143-4810 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1043865082 | Sean Luke Davidson | Hospitalist | 3305 Malloy St, Little Rock, AR 72204-4480 | 2019-08-06 |
| 1932520764 | South Arkansas Emergency Physicians, LLP | Hospitalist | 4301 Johnson Mill Blvd, Johnson, AR 72741-0001 | 2013-12-20 |
| 1447671490 | South Arkansas Emergency Physicians, LLP | Hospitalist | 3000 Se Medical Center Pkwy, Bentonville, AR 72712-3217 | 2013-12-18 |
| 1033454723 | Prime Physicians LLC | Hospitalist | 5808 Callaway Ln, Fort Smith, AR 72916-8437 | 2012-12-06 |
| 1316204746 | Stephanie Michelle Henkel | Hospitalist | 2710s Rife Medical Ln, Rogers, AR 72758-1452 | 2012-04-23 |
| 1629366471 | Chandra Shekhar Dasari | Hospitalist | 4301 W Markham St # 795, Little Rock, AR 72205-7101 | 2011-07-14 |
| 1316230816 | Joe David May | Hospitalist | 8072 Ironstone Dr, Alexander, AR 72002-5007 | 2011-05-17 |
| 1740411511 | Chandra S Lingisetty | Hospitalist | College Avenue, 2302 Conway Regional Medical Center, Conway, AR 72034 | 2009-07-28 |
| 1821282526 | Abhijit Shivkumar | Hospitalist | 225 E Jackson, St Bernards Medical Center, Jonesboro, AR 72401-3119 | 2007-09-05 |
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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.