RANDALL P WAGNER (NPI# 1609812007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609812007 |
| Entity Type | Individual |
| Full Name | RANDALL P WAGNER |
| Credential | MD |
| Practice Address |
Washington Adventist Hospital 7600 Carroll Avenue Takoma Park MD 20912 |
| Mailing Address |
1300 Piccard Drive Suite 202 Rockville MD 20850-4303 |
| Practice Telephone | 3018915957 |
| Mailing Telephone | 3019217900 |
| Mailing Fax Number | 3019217915 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
00044957 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558434050 | Randall L Wagner | Dentist | 501 Jefferson St Ste #1, Kerrville, TX 78028 | 2006-11-15 |
| 1063558211 | Randall L Wagner | Counselor | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2007-01-29 |
| Street Address |
WASHINGTON ADVENTIST HOSPITAL 7600 CARROLL AVENUE |
| City | TAKOMA PARK |
| State | MD |
| Zip Code | 20912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265527451 | Genevieve Ann Hickman | Dietitian, Registered | Washington Adventist Hospital, 7600 Carroll Ave, Takoma Park, MD 20912 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
| 1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
| 1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
| 1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
| 1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
| 1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
| 1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
| 1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
| 1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
| 1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
| Find all providers in zip 20912 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164455853 | Mid-atlantic Critical Care Services,l.l.c. | Internal Medicine | 7600 Carroll Ave, Washington Adventist Hospital, Takoma Park, MD 20912 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694066 | Rajesh M Shah M D | Internal Medicine | 8353 Governor Run, Ellicott City, MD 21043-3448 | 2018-03-29 |
| 1376994129 | Integra Clinical Services, LLC | Internal Medicine | 9055 Tamar Dr, Columbia, MD 21045-2756 | 2016-06-23 |
| 1871949917 | Penelope Scott, Md | Internal Medicine | 11824 Falls Rd, Cockeysville, MD 21030-1605 | 2016-05-08 |
| 1598121337 | Dennis Frank | Internal Medicine | 6 Southgate Ave, Annapolis, MD 21401-2710 | 2016-01-09 |
| 1861812182 | Samuel Raouf | Internal Medicine | 5051 Greenspring Ave Ste 302, Baltimore, MD 21209-4358 | 2014-04-25 |
| 1265852263 | James Shelhamer | Internal Medicine | Room 2c145 Bldg 10, Nih, Bethesda, MD 20892-0001 | 2014-04-17 |
| 1922341338 | Aparna Balasubramanian | Internal Medicine | 1830 E Monument St Fl 5, Department of Pulmonary and Critical Care Medicine, Baltimore, MD 21287-0020 | 2013-04-03 |
| 1245578426 | Mary Joy Drass | Internal Medicine | 5565 Sterrett Pl Fl 5, Columbia, MD 21044-2665 | 2013-01-23 |
| 1699027151 | Jack E Zimmerman | Internal Medicine | 17612 Coatbridge Pl, Olney, MD 20832-2318 | 2012-10-09 |
| 1053675074 | William Brian Karkowsky | Internal Medicine | 6503 Sanzo Rd Apt F, Baltimore, MD 21209-2412 | 2012-06-25 |
| Find all providers with the same taxonomy | ||||
| City | TAKOMA PARK |
| Zip Code | 20912 |
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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.