JOHN RAYMOND WAGNER (NPI# 1538120704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538120704 |
| Entity Type | Individual |
| Full Name | JOHN RAYMOND WAGNER |
| Credential | M.D. |
| Practice Address |
7 Pulaski Rd East Northport NY 11731-2442 |
| Practice Telephone | 6312613322 |
| Practice Fax Number | 6313685440 |
| Mailing Telephone | 6312613322 |
| Mailing Fax Number | 6313685440 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 181212 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01280253 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861802498 | John M. Wagner | Counselor | 1048 Sumac St, Longmont, CO 80501-4146 | 2014-05-05 |
| 1326323221 | John Wagner | Physical Therapist | 3079 Nestall Rd, Laguna Beach, CA 92651-2026 | 2011-10-12 |
| 1821384728 | John C Wagner | Pharmacist | 1703 Elm St W, Hampton, SC 29924 | 2011-06-20 |
| 1033320577 | John Wagner | Psychiatry & Neurology | 7330 Fern Ave Ste 704, Shreveport, LA 71105-4985 | 2007-05-25 |
| 1013044197 | John Daniel Wagner | Massage Therapist | 2315 N Pearl St Ste 10, Pmb 188, Tacoma, WA 98406-2553 | 2007-02-27 |
| 1588719066 | John J Wagner | Psychologist | 7374 Reading Rd Ste 110, Cincinnati, OH 45237-3409 | 2007-01-24 |
| 1033262340 | John D Wagner | Internal Medicine | 451 Clarkson Ave Rm B-1147, Kings County Hospital Center, Brooklyn, NY 11203-2054 | 2007-01-19 |
| 1942316385 | John Otto Wagner | Legal Medicine | 1950 Stanley Rd Bldg 2376, San Antonio Military Entrance Processing Station, Fort Sam Houston, TX 78234-7547 | 2006-08-21 |
| 1881635159 | John Adam Wagner | Chiropractor | 411 Hyde Park, Doylestown, PA 18902-6619 | 2006-06-09 |
| 1386697019 | John Wagner | Specialist/Technologist | 35 Colgate St, Jersey City, NJ 07302-3307 | 2006-05-17 |
| Street Address |
7 PULASKI RD |
| City | EAST NORTHPORT |
| State | NY |
| Zip Code | 11731-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346200912 | Wgm Obstetrics and Gynecology,pc | Obstetrics & Gynecology | 7 Pulaski Rd, East Northport, NY 11731-2442 | 2006-03-27 |
| 1750858288 | Malgorzata Krystyna Mierzejewski | Nurse Practitioner | 7 Pulaski Rd, East Northport, NY 11731-2442 | 2018-11-02 |
| 1912968181 | Theodore Lyle Goldman | Obstetrics & Gynecology | 7 Pulaski Rd, East Northport, NY 11731-2442 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675899 | Deborah Carol Kassan | Physical Therapist | 457 Clay Pitts Road, East Northport, NY 11731 | 2020-09-30 |
| 1952923401 | Angela Marie Trapani | Psychologist | 34 Ashwood Ct, East Northport, NY 11731 | 2020-05-07 |
| 1013492016 | Kim Cooke | Social Worker | 42 Rofay Drive, East Northport, NY 11731 | 2018-09-26 |
| 1588163547 | Christine Catherine Ambrosio | Specialist | 229 Laured Rd East, East Northport, NY 11731 | 2018-02-06 |
| 1043729965 | Gavin Theofield | Social Worker | 418 2nd Avenue W, East Northport, NY 11731 | 2017-09-22 |
| 1518486489 | Brynn Katherine Maxwell | Specialist | 38 Furwood Drive, East Northport, NY 11731 | 2017-09-12 |
| 1598209934 | Clemencia Naruta | Registered Nurse | 413 Second Street, East Northport, NY 11731 | 2016-12-05 |
| 1033669460 | Danielle Franzone | Social Worker | 1 Klaibar Lane, East Northport, NY 11731 | 2016-10-10 |
| 1619323789 | Camille Martin | Registered Nurse | 5 Gildare Drive, East Northport, NY 11731 | 2016-05-09 |
| 1922467331 | Saadia Z Yunus | Marriage & Family Therapist | 554 Larkfield Rd Ste 10i, East Northport, NY 11731 | 2016-02-12 |
| Find all providers in zip 11731 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104936061 | Martin I Granoff Md PC | Obstetrics & Gynecology | 554 Larkfield Road, Sutie 105, East Northport, NY 11731 | 2006-08-30 |
| 1346200912 | Wgm Obstetrics and Gynecology,pc | Obstetrics & Gynecology | 7 Pulaski Rd, East Northport, NY 11731-2442 | 2006-03-27 |
| 1326078916 | Martin I Granoff | Obstetrics & Gynecology | 554 Larkfield Rd, East Northport, NY 11731-4205 | 2006-07-03 |
| 1912968181 | Theodore Lyle Goldman | Obstetrics & Gynecology | 7 Pulaski Rd, East Northport, NY 11731-2442 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST NORTHPORT |
| Zip Code | 11731 |
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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.