KELSEY LEE WAGNER (NPI# 1588082408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588082408 |
| Entity Type | Individual |
| Full Name | KELSEY LEE WAGNER |
| Other Name | KELSEY LEE |
| Credential | MD |
| Practice Address |
146 W Dale St Ste 102 Waterloo IA 50703-1901 |
| Practice Telephone | 3192355050 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 45404 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Holmes St, Kansas City, MO 641082640 | 8164044175 |
| Street Address |
146 W DALE ST STE 102 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| 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 |
|---|---|---|---|---|
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1659359909 | Marilyn W Hines | Obstetrics & Gynecology | 3421 W 9th St Ste G4500, Waterloo, IA 50702-5401 | 2006-01-06 |
| 1598763286 | Brett R Richman | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2005-07-07 |
| 1255339925 | Anthony A Onuigbo | Obstetrics & Gynecology | 227 E San Marnan Dr, Ste 1, Waterloo, IA 50702-5829 | 2005-07-07 |
| 1649274382 | Stephanie Skelly | Obstetrics & Gynecology | 723 Station Xing, Waterloo, IL 62298-1886 | 2005-06-10 |
| 1568853018 | St Anthony's Physician Organization of Illinois | Obstetrics & Gynecology | 509 Hamacher St, Ste 203, Waterloo, IL 62298-1592 | 2015-02-05 |
| 1174921787 | Olanike Omotola Alonge-obe | Obstetrics & Gynecology | 3421 W 9th St Ste G4500, Waterloo, IA 50702-5401 | 2014-12-12 |
| 1831484906 | Karla Nyreen Solheim | Obstetrics & Gynecology | 3421 W 9th St, Suite G4500, Waterloo, IA 50702-5401 | 2011-06-16 |
| 1578798906 | Ashima Singla | Obstetrics & Gynecology | 3421 W 9th St, # G 4500, Waterloo, IA 50702-5401 | 2009-05-29 |
| 1750570172 | Mohamad Hamdi | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2007-10-22 |
| Find all providers in WATERLOO | ||||
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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.