DESIREE WAGNER


Address: 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027
Phone: 5708087996

DESIREE WAGNER (NPI# 1558756247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558756247
Entity Type Individual
Full Name DESIREE WAGNER
Practice Address 1000 E Mountain Blvd
Wilkes Barre
PA 18711-0027
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 5708087996
Practice Fax Number 5708086072
Mailing Telephone 5702716144
Enumeration Date 2015-03-31
Last Update Date 2018-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist MD463914 PA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4401 Penn Ave, Aob Suite 5400, Pittsburgh, PA 152241334 4126925285

Office Location

Street Address 1000 E MOUNTAIN BLVD
City WILKES BARRE
State PA
Zip Code 18711-0027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841292943 Robert A Rostock Specialist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2005-06-02
1396342994 Haley Stackhouse Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-10-06
1346852670 Nicholas John Preston Pharmacist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-08-18
1497363816 Ashley Hine Surgery 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-07-22
1851919971 Chelsea Pieshefski Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-07-07
1437776150 Alyssa M Callela Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-29
1679199848 Gabrielle Cristina Roberts Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-23
1194341602 Kylie Morgan Verespy Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-06-20
1346865680 Jillian Theresa Butkiewicz Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-12
1902426711 Belinda Sibanda Student in an Organized Health Care Education/Training Program 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467924274 Leeann Kayal Nurse Practitioner 111 East End Boulevard, Wilkes Barre, PA 18711 2018-12-19
1336661701 Patricia Dworak Occupational Therapist 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 2017-07-07
1992160352 Hope Danishanko Social Worker 111 East End Blvd, Wilkes Barre, PA 18711 2015-12-29
1477962785 Jennifer L. Heck Physical Therapist 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 2014-08-12
1821338807 Melinda Flaim Physical Therapist 1555 East End Blvd, Wilkes Barre, PA 18711 2013-02-27
1598900953 Elizabeth Patricia Keating Pharmacist 1000 East Mountain Drive, Wilkes Barre, PA 18711 2008-12-12
1457433294 Christopher William O'brien Specialist/Technologist King's College, 133 North River Street, Wilkes-barre, PA 18711 2006-10-20
1821197450 Louis Jay Freedman Obstetrics & Gynecology Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 2006-09-21
1730282625 Natalia N Belikova Internal Medicine 1111 East End Boulvard, Wilkesbarre, PA 18711 2006-09-06
1609883628 Va Medical Center General Acute Care Hospital 1111 East End Blvd., Wilkes-barre, PA 18711 2006-08-02
Find all providers in zip 18711

Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740703222 Kartik Dhaduk Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2017-07-17
1770010498 Mohamed Hassan Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2017-05-12
1801329453 Eric Drago Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2017-04-10
1184087397 Jane Viernes Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2016-04-04
1598127821 Connor Dougherty Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2016-03-25
1497116826 Maria L. Shiptoski Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2016-03-12
1679933394 Advanced Inpatient Palliative Medicine PC Hospitalist 575 N River St, Wilkes Barre, PA 18764-0999 2016-02-24
1215304845 Siddhartha Yedla Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711 2015-08-31
1174907687 Shaylika Chauhan Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2015-07-14
1104208628 Syed Zaman Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2015-06-20
Find all providers in WILKES BARRE

Competitor

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City WILKES BARRE
Zip Code 18711

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Dataset Information

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.

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