DR. TODD L WAGNER (NPI# 1629067517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629067517 |
| Entity Type | Individual |
| Full Name | DR. TODD L WAGNER |
| Credential | D.O., M.P.H. |
| Practice Address |
1887 Powhatan St. Navy Environmental and Preventive Medicine Unit 2 Norfolk VA 23511 |
| Mailing Address |
2773 Pleasant Acres Dr Virginia Beach VA 23453-7326 |
| Practice Telephone | 7579356552 |
| Mailing Telephone | 7579536552 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
20A8267 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841339132 | Todd J Wagner | Physical Therapist | 204 E Jefferson, Whitney, TX 76692 | 2007-02-05 |
| 1356649974 | Todd Wagner | Pharmacist | 4408 W Hundred Rd, Chester, VA 23831-1738 | 2011-03-06 |
| 1063674299 | Todd Emmit Wagner | Family Medicine | 21100 Southgate Park Blvd, Maple Heights, OH 44137-3004 | 2008-06-29 |
| Street Address |
1887 POWHATAN ST. NAVY ENVIRONMENTAL AND PREVENTIVE MEDICINE UNIT 2 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518397405 | Passport Health Holdings LLC | Preventive Medicine | 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002 | 2013-11-14 |
| 1992987853 | Timothy Styles | Preventive Medicine | 1887 Powhatan St, Naval Env. & Prev. Med. Unit 2, Norfolk, VA 23511-3319 | 2007-12-03 |
| 1215098736 | Rhonda Ann Lizewski | Preventive Medicine | 1285 W D St, Norfolk, VA 23511-2303 | 2006-12-12 |
| 1760621312 | Richard Coleman Brown | Preventive Medicine | 825 Fairfax Ave, Suite 545, Norfolk, VA 23507-1914 | 2009-02-05 |
| 1710039565 | Lisa Mccoy | Preventive Medicine | 830 Southampton Ave, Suite 200, Norfolk, VA 23510-1001 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792403 | Elaine Stanek Perry | Preventive Medicine | 45201 Research Pl Ste 120, Ashburn, VA 20147-2416 | 2020-02-19 |
| 1629546379 | Chang-i Wu | Preventive Medicine | 1530 Clarendon Blvd Apt 700, Arlington, VA 22209-4315 | 2018-11-09 |
| 1922541523 | Gregory Burkhart | Preventive Medicine | 12224 Quorn Ln, Reston, VA 20191-2635 | 2016-11-30 |
| 1114380359 | Sean C Mabey | Preventive Medicine | 2608 Nestlebrook Trl, Virginia Beach, VA 23456-8201 | 2016-04-04 |
| 1407269723 | Kim Xuan Luk | Preventive Medicine | 4480 King St Fl 3, Alexandria, VA 22302-1300 | 2014-06-04 |
| 1225458581 | Barbara Louise Johnson | Preventive Medicine | 412 W Stuart Dr, Galax, VA 24333-2737 | 2014-04-24 |
| 1811313943 | Passport Health Holdings, LLC. | Preventive Medicine | 2812 Emerywood Parkway, #160, Richmond, VA 23294 | 2014-03-13 |
| 1679827687 | James J James | Preventive Medicine | 16422 Wanderers Port Lane, Onancock, VA 23417 | 2012-10-30 |
| 1851667091 | Robert Peter Kadlec | Preventive Medicine | 2209 Traies Ct, Alexandria, VA 22306-2564 | 2012-03-31 |
| 1366728610 | Randall Culpepper | Preventive Medicine | 2034 Eisenhower Ave, Suite 270, Alexandria, VA 22314-5326 | 2011-11-01 |
| Find all providers with the same taxonomy | ||||
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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.