MR. WAYNE PAUL WAGNER (NPI# 1568580801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568580801 |
| Entity Type | Individual |
| Full Name | MR. WAYNE PAUL WAGNER |
| Credential | DC |
| Practice Address |
605 N Spence Ave Goldsboro NC 27534-4263 |
| Practice Telephone | 9197510555 |
| Practice Fax Number | 9197513001 |
| Mailing Telephone | 9197510555 |
| Mailing Fax Number | 9197513001 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4617 | NC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437712700 | Wayne Scott Wagner | Occupational Therapy Assistant | 400 S Crapo St, Mount Pleasant, MI 48858-2944 | 2019-04-22 |
| 1063672491 | Wayne Louis Wagner | Dentist | 13376 Research Blvd, Suite 200, Austin, TX 78750-3237 | 2008-06-10 |
| 1407910136 | Wayne W Wagner | Dentist | 4618 Meadows Ln, Las Vegas, NV 89107-2956 | 2006-12-20 |
| 1003876988 | Wayne F Wagner | Dentist | 1580 N Northwest Hwy, #300, Park Ridge, IL 60068-1469 | 2006-03-24 |
| Street Address |
605 N SPENCE AVE |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393920 | Michael P Gambacorta | Chiropractor | 605 N Spence Ave, Goldsboro, NC 27534-4263 | 2005-06-02 |
| 1487198107 | Alien Gear Real Estate | Physical Therapist | 605 N Spence Ave, Goldsboro, NC 27534-4263 | 2016-12-14 |
| 1356799449 | Chiro Solutions, Pllc. | Chiropractor | 605 N Spence Ave, Goldsboro, NC 27534-4263 | 2016-05-30 |
| 1538462106 | Goldsboro Spine Center, Pa | Chiropractor | 605 N Spence Ave, Goldsboro, NC 27534-4263 | 2010-12-21 |
| 1134197320 | Caroline Joy Yumul Co | Physical Therapist | 605 N Spence Ave, Goldsboro, NC 27534-4263 | 2006-03-14 |
| 1306840681 | Torri Fair Gambacorta | Chiropractor | 605 N Spence Ave, Goldsboro, NC 27534-4263 | 2005-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626193 | Katelyn Mcfarland Miles | Chiropractor | 2902 Central Heights Rd Ste E, Goldsboro, NC 27534-6513 | 2018-04-17 |
| 1437695186 | Kevin Lloyd Baker | Chiropractor | 311 E Walnut St, Goldsboro, NC 27530-4836 | 2017-01-18 |
| 1548671787 | Kaydi Ruth Frost | Chiropractor | 1006 Corporate Dr, Goldsboro, NC 27534-1608 | 2014-05-09 |
| 1528109626 | Chiropractic Advantage of Cary, Pa | Chiropractor | 605a N Spence Ave, Goldsboro, NC 27534-4263 | 2007-02-09 |
| 1104987205 | Democko Chiropractic Pllc | Chiropractor | 1802 E Ash St, Goldsboro, NC 27530-4045 | 2006-12-12 |
| 1366527244 | Pattrick Scott Gallagher | Chiropractor | 1304 E Ash St, Goldsboro, NC 27530-5106 | 2006-10-26 |
| 1265520720 | Paul Hy Le | Chiropractor | 1707 Wayne Memorial Dr Ste B, Goldsboro, NC 27534-2239 | 2006-10-10 |
| 1578573598 | Wayne Chiropractic Center Pa | Chiropractor | 1401 N Berkeley Blvd, Ste H, Goldsboro, NC 27534 | 2006-08-09 |
| 1538173455 | Goldsboro Spine Center, Pllc | Chiropractor | 505 N Spence Ave Ste A, Goldsboro, NC 27534-4292 | 2006-07-28 |
| 1265480107 | Todd Michael Muhr | Chiropractor | 206 E Mulberry St, Goldsboro, NC 27530-3733 | 2006-05-04 |
| Find all providers in GOLDSBORO | ||||
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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.