DR. WILLIAM J WAGNER (NPI# 1598738155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598738155 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM J WAGNER |
| Credential | MD |
| Practice Address |
90 Health Park Dr Suite 390 Louisville CO 80027-9757 |
| Practice Telephone | 3034260215 |
| Practice Fax Number | 3034264003 |
| Mailing Telephone | 3034260215 |
| Mailing Fax Number | 3034264003 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2011-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
37399 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594963 | William Douglas Wagner | Counselor | 2139 Palm Ct, North Port, FL 34287-5724 | 2011-10-11 |
| 1497967947 | William A Wagner | General Practice | 2317 Elmwood Dr Se, Grand Rapids, MI 49506-4055 | 2007-05-05 |
| 1396882130 | William L Wagner | Chiropractor | 303 W Birnie St, Gaffney, SC 29341-2307 | 2007-01-31 |
| 1760535587 | William Scott Wagner | Dentist | 1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493 | 2007-01-18 |
| 1477603702 | William Claude Wagner | Dentist | 211 N Prairie St, Bloomington, IL 61701 | 2007-01-11 |
| 1255419511 | William Wagner | Family Medicine | 6214 Johnson St, Hollywood, FL 33024-5932 | 2006-11-02 |
| 1558384875 | William Wagner | Nurse Anesthetist, Certified Registered | 1710 Cheyenne Dr, Hillsborough, NC 27278-9500 | 2006-07-26 |
| 1871528455 | William Frederick Wagner | Anesthesiology | 1506 N Fant St, Anderson, SC 29621-4708 | 2006-07-11 |
| 1639130446 | William John Wagner | Family Medicine | 531 Broad St, Montoursville, PA 17754-2338 | 2006-03-31 |
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| Street Address |
90 HEALTH PARK DR SUITE 390 |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027-9757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362657 | Brad Douglas Anderson | Family Medicine | 90 Health Park Dr, Suite 260, Louisville, CO 80027-9757 | 2005-08-10 |
| 1487195780 | Lauren Mrkva | Nurse Practitioner | 90 Health Park Dr, #170, Louisville, CO 80027-9757 | 2017-03-20 |
| 1043661226 | Gemma Stella | Nurse Practitioner | 90 Health Park Dr, Ste 350, Louisville, CO 80027-9757 | 2016-06-28 |
| 1881051035 | Elizabeth M Kilmer-sterling | Advanced Practice Midwife | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2016-01-19 |
| 1730503350 | Columbine & Flatirons Dermatology Associates | Dermatology | 90 Health Park Dr, Suite 390, Louisville, CO 80027-9757 | 2014-02-18 |
| 1790107373 | Flatiron Allergy & Asthma Center | Allergy & Immunology | 90 Health Park Dr, 170, Louisville, CO 80027-9757 | 2014-01-15 |
| 1104160589 | Stephanie Rae Traver | Nurse Practitioner | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2012-11-25 |
| 1952666422 | Kirigin Elstad Watkins | Obstetrics & Gynecology | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2012-07-10 |
| 1740552199 | Portercare Adventist Health System | Internal Medicine | 90 Health Park Dr, Suite 190, Louisville, CO 80027-9757 | 2012-02-01 |
| 1396061438 | Amy Elizabeth Morin | Nurse Practitioner | 90 Health Park Dr, Suite #320, Louisville, CO 80027-9757 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1114372141 | Marwa Ali Mahgoub Elnazeir | Psychiatry & Neurology | 401 E Chestnut St Ste 500, Louisville, KY 40202-5700 | 2016-04-27 |
| 1427411537 | James Lamb | Psychiatry & Neurology | 500 S Preston St Dept Of, Hsc #113, Louisville, KY 40202-1702 | 2016-04-05 |
| 1194111807 | Murali Kolikonda | Psychiatry & Neurology | 500 S. Preston St., Rm. 113, Louisville, KY 40202 | 2015-04-09 |
| 1023317633 | Alicia Erin Bennett | Psychiatry & Neurology | 100 Health Park Drive, Louisville, CO 80027 | 2011-03-22 |
| 1477879815 | Victoria Holiday | Psychiatry & Neurology | 220 Abraham Flexner Way Ste 606, Louisville, KY 40202-3826 | 2010-04-09 |
| 1285871525 | Asad Ismail Psychytry Neurology Services, Psc | Psychiatry & Neurology | 10210 Springhurst Garden Circle, Louisville, KY 40241 | 2009-01-08 |
| 1164674891 | Jignesh Jagdish Shah | Psychiatry & Neurology | 401 East Chestnut Street, Ste #510, Msc 1063, Louisville, KY 40202-5710 | 2008-10-13 |
| 1285821876 | Brian Maxwell Plato | Psychiatry & Neurology | 3991 Dutchmans Ln Ste 200, Louisville, KY 40207-4723 | 2007-09-27 |
| 1386845378 | George W Scott II | Psychiatry & Neurology | 3900 Kresge Way Ste 56, Louisville, KY 40207-1144 | 2007-05-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
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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.