DR. LAURA ELLA WAGNER (NPI# 1669445060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669445060 |
| Entity Type | Individual |
| Full Name | DR. LAURA ELLA WAGNER |
| Credential | M.D. |
| Practice Address |
14377 Woodlake Dr Suite 111 Chesterfield MO 63017-5735 |
| Practice Telephone | 3144341111 |
| Practice Fax Number | 3144341112 |
| Mailing Telephone | 3144341111 |
| Mailing Fax Number | 3144341112 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R8N01 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBSMO PROVIDER # | 18374 | 01 |
| MO | GHP PROVIDER # | 39228V39228 | 01 |
| MO | HEALTHLINK ID# | 211386 | 01 |
| MO | TAX ID# | 431895147 | 01 |
| MO | AETNA PROVIDER # | 4420124 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518216332 | Laura Beth Wagner | Physician Assistant | 14 Deerwood Dr, Clark, NJ 07066-2817 | 2012-09-07 |
| 1679877302 | Laura Ann Wagner | Specialist | 8129 Wheeler Dr, Orland Park, IL 60462-4928 | 2011-01-10 |
| 1336441765 | Laura Wagner | Nurse Practitioner | 1700 Cooper Point Road Sw, Ste C-4, Olympia, WA 98502 | 2010-11-17 |
| 1356555742 | Laura L. Wagner | Nurse Practitioner | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2007-05-09 |
| 1033269329 | Laura J Wagner | Social Worker | 1100 Cesery Blvd Ste 11, Jacksonville, FL 32211-5656 | 2007-01-11 |
| 1710507223 | Laura Michelle Wagner | Nurse Practitioner | 2 Koret Way # N-319x, San Francisco, CA 94143-2218 | 2020-04-24 |
| 1700423258 | Laura Ann Wagner | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2019-12-03 |
| 1255891578 | Laura Lynn Wagner | Pharmacist | 744 Hwy 270 East, Mount Ida, AR 71957 | 2019-03-22 |
| 1679079719 | Laura Ann Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-05 |
| 1679076285 | Laura Katherine Wagner | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2018-03-10 |
| Street Address |
14377 WOODLAKE DR SUITE 111 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720243 | Stephen Charles Snitzer | Dentist | 14377 Woodlake Dr, Ste 214, Chesterfield, MO 63017-5735 | 2005-06-16 |
| 1255736278 | Charles Daniel Hurley | Dentist | 14377 Woodlake Dr, Ste 211, Chesterfield, MO 63017-5735 | 2014-11-03 |
| 1679987580 | Emily Hurley | Dentist | 14377 Woodlake Dr, Suite 211, Chesterfield, MO 63017-5735 | 2014-06-18 |
| 1760727648 | Maggie Azab Bottros | Dentist | 14377 Woodlake Dr, Suite 215, Chesterfield, MO 63017-5735 | 2012-12-04 |
| 1639433626 | David Guilbeault Dmd Woods Mill LLC | Dentist | 14377 Woodlake Dr, Ste 115, Chesterfield, MO 63017-5735 | 2012-06-25 |
| 1023382223 | Daniel Wray Charpentier | Dentist | 14377 Woodlake Dr, 210, Chesterfield, MO 63017-5735 | 2012-03-06 |
| 1295030997 | Kathleen Heather Ottolini | Chiropractor | 14377 Woodlake Dr, Suite 315, Chesterfield, MO 63017-5735 | 2011-01-11 |
| 1922316843 | First Health Chiropractic LLC | Chiropractor | 14377 Woodlake Dr, Ste. 315, Chesterfield, MO 63017-5735 | 2010-09-14 |
| 1790001790 | Peg Elizabeth Niemann | Counselor | 14377 Woodlake Dr, Suite 118, Chesterfield, MO 63017-5735 | 2010-04-15 |
| 1811213010 | Chiropractic Physicians Group | Chiropractor | 14377 Woodlake Dr, Suite 110, Chesterfield, MO 63017-5735 | 2010-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710263108 | Lisa Ann Peoples | Specialist | 14219 Kinderhook Dr, Chesterfield, MO 63017-2921 | 2011-10-29 |
| 1437466729 | Cathy Mccredie | Specialist | 830 Wellesley Place Dr, Chesterfield, MO 63017-0745 | 2010-09-08 |
| 1588827224 | Central Orthopedics and Sports Medicine PC | Specialist | 121 Saint Lukes Center Dr Ste 502, Chesterfield, MO 63017-3519 | 2008-07-02 |
| 1942486055 | Mark D Miller | Specialist | 14825 N Outer 40 Ste 200, Chesterfield, MO 63017-2152 | 2008-01-18 |
| 1477694248 | Leigh Douglas Hagan | Specialist | 10003 Courtview Ln, Chesterfield, VA 23832-6682 | 2007-02-12 |
| 1851437594 | Patricia Elizabeth Hamill | Specialist | 25 La Gorce Dr, Chesterfield, MO 63017-3233 | 2007-01-29 |
| 1962554758 | St. Luke's Breast Care Center | Specialist | 232 S Woods Mill Rd Ste 200e, Chesterfield, MO 63017-3417 | 2007-01-18 |
| 1679682512 | James J Coyle, Md LLC | Specialist | 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017-3662 | 2006-08-30 |
| 1518994482 | Christian Arturo Prada | Specialist | 17300 North Outer 40 Road, Suite 300, Chesterfield, MO 63005-1361 | 2006-06-27 |
| 1962406207 | Matthew F Gornet | Specialist | 14825 N Outer 40 Rd, Ste 200, Chesterfield, MO 63017-2152 | 2005-06-01 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on DR. LAURA ELLA WAGNER.
| 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.