LENARD D WAGNER (NPI# 1649216896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649216896 |
| Entity Type | Individual |
| Full Name | LENARD D WAGNER |
| Credential | M.D. |
| Practice Address |
1600 North Main Lovington NM 88260-2813 |
| Mailing Address |
200 W Lea St Hobbs NM 88240-5110 |
| Practice Telephone | 5753966611 |
| Practice Fax Number | 5753960318 |
| Mailing Telephone | 5753910270 |
| Mailing Fax Number | 5753910271 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
86-141 | NM | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | CS00009180 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 36954 | 05 |
| Street Address |
1600 NORTH MAIN |
| City | LOVINGTON |
| State | NM |
| Zip Code | 88260-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105384 | Katherine L Batton | Nurse Practitioner | 1600 North Main, Lovington, NM 88260-2813 | 2005-06-21 |
| 1326494808 | Sharyn Bush | Physician Assistant | 1600 North Main, Lovington, NM 88260-2830 | 2016-05-13 |
| 1255794749 | Amanda Delacruz | Social Worker | 1600 North Main, Lovington, NM 88260-2830 | 2016-04-01 |
| 1023480274 | Kelli Mccall | Nurse Practitioner | 1600 North Main, Lovington, NM 88260-2830 | 2015-10-28 |
| 1750789723 | Katherine Leigh Strunk | Physician Assistant | 1600 North Main, Lovington, NM 88260-2830 | 2014-12-08 |
| 1376961888 | Jimmy Crumbacher | Family Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2014-04-01 |
| 1093130783 | Chade B Green | Physician Assistant | 1600 North Main, Lovington, NM 88260-2830 | 2014-03-04 |
| 1841631579 | Susan Marie Overkamp | Family Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2013-07-10 |
| 1295178200 | Karen S Cummings | Nurse Practitioner | 1600 North Main, Lovington, NM 88260-2830 | 2013-04-09 |
| 1376889691 | Amrit Bhushan Varma | Otolaryngology | 1600 North Main, Lovington, NM 88260-2830 | 2012-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761034 | Debra Mauldin | Registered Nurse | 18 West Washington, Lovington, NM 88260 | 2018-02-21 |
| 1790283786 | Brenda D'ann Perry | Registered Nurse | 700 W Jefferson, Lovington, NM 88260 | 2018-01-25 |
| 1114433513 | Rebecca Madrid | Registered Nurse | 11 Ano 1000 S Main St, Lovington, NM 88260 | 2017-12-20 |
| 1588177414 | Kimberly Kay Reeder | Registered Nurse | 1400 S. 6th St, Lovington, NM 88260 | 2017-11-14 |
| 1508379439 | Jessica Fitzgerald | Registered Nurse | 1202 W Birch Ave, Lovington, NM 88260 | 2017-11-14 |
| 1245760362 | Dyesebel Morales Solis | Physical Therapist | 1600 N. Main Street, Nor-lea Hospital District, Lovington, NM 88260 | 2017-06-13 |
| 1962949172 | Especializados En Servicios Medicos Quirurgicos Sa De Cv | General Acute Care Hospital | A. Obregon 3256 Col. Jardin, Nuevo Laredo, TAMAULIPAS 88260 | 2017-01-25 |
| 1205386992 | Graciela Urbina | Dentist | O Campo 3147, Nvo Laredo, TAMPS 88260 | 2016-10-06 |
| 1710294913 | Lindsey Anitra Broom | Speech-Language Pathologist | 1300 W. Dogwood, Lovington, NM 88260 | 2010-09-09 |
| 1003129545 | Rosalinda Barraza | Occupational Therapist | 18 W Washington, Lovington, NM 88260 | 2010-07-26 |
| Find all providers in zip 88260 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932562360 | Gray Pearls LLC | Family Medicine | 2506 Tramway Terrace Ct Ne, Albuquerque, NM 87122-2317 | 2016-04-02 |
| 1093954448 | Housecalls Unlimited LLC | Family Medicine | 1320 Tanglewood Pl Nw, Albuquerque, NM 87120-6548 | 2009-02-09 |
| 1437258951 | Gerard Edward Muraida | Family Medicine | 5639 Jefferson St Ne, Albuquerque, NM 87109-3412 | 2006-09-21 |
| 1144232679 | William F Orr Jr. | Family Medicine | 8220 San Pedro Dr Ne Ste 300, Albuquerque, NM 87113-2476 | 2006-08-13 |
| 1659388619 | Suzanne Pinon | Family Medicine | 8400 Menaul Blvd Ne, Suite A-141, Albuquerque, NM 87112-2260 | 2006-08-02 |
| 1780605923 | David Bennahum | Family Medicine | Westside Family / Senior Health Center, 4808 Mc Mahon Blvd., Albuquerque, NM 87114 | 2006-07-22 |
| 1801872338 | Mark Douglas Bonnell | Family Medicine | Santa Clara Health Center, Rr 5 Box 446, Espanola, NM 87532-8908 | 2005-12-16 |
| 1750377412 | Percy M Pentecost | Family Medicine | 3016 Mackland Ave Ne, Albuquerque, NM 87106-2018 | 2005-09-27 |
| 1376536110 | Elizabeth Ann Morgan | Family Medicine | 45a Los Ranchitos Rd, Sandia Park, NM 87047-9619 | 2005-08-26 |
| 1689671174 | Joseph Mario Lovato | Family Medicine | 4425 Rio Trumperos Court Ne, Albuquerque, NM 87120-5333 | 2005-06-30 |
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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.