JENNIFER KRISTEN WAGNER-HITZEMAN (NPI# 1720049208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720049208 |
| Entity Type | Individual |
| Full Name | JENNIFER KRISTEN WAGNER-HITZEMAN |
| Other Name | JENNIFER KRISTEN WAGNER |
| Credential | MD |
| Practice Address |
750 Townpark Ln Nw Kennesaw GA 30144-5579 |
| Mailing Address |
3495 Piedmont Rd Ne Nine Piedmont Center Atlanta GA 30305-1717 |
| Practice Telephone | 4043647285 |
| Mailing Telephone | 4045045678 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 053370 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 864857914A | 05 |
| Street Address |
750 TOWNPARK LN NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383691 | Rae A King | Ophthalmology | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2005-08-11 |
| 1861979460 | Allison M Christopher | Psychologist | 750 Townpark Ln Nw, Kennesaw, GA 30144 | 2018-07-26 |
| 1831676535 | Justin Liane Williams | Psychologist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-07-25 |
| 1457859365 | Kristina Hazard | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-01-25 |
| 1821471152 | Gretchen Earwood | Dietitian, Registered | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2015-07-06 |
| 1023403607 | Kimberly Dao-king | Pediatrics | 750 Townpark Ln Nw, Kennesaw, GA 30144 | 2015-04-01 |
| 1467708453 | Cui Yang | Internal Medicine | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-07-27 |
| 1417214925 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-04-20 |
| 1700152378 | Sanjeev Rally | Psychiatry & Neurology | 750 Townpark Ln Nw, Behavioral Health, Kennesaw, GA 30144-5579 | 2012-03-28 |
| 1265707244 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2012-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649685728 | Lum Frundi | Pediatrics | 3150 Cobb Pkwy Nw Ste 130, Kennesaw, GA 30152-1007 | 2014-06-26 |
| 1972892255 | Jeffrey Sacks | Pediatrics | 1180 Ernest W Barrett Pkwy Nw Ste 102a, Kennesaw, GA 30144-4534 | 2011-04-07 |
| 1558599084 | Saudiqa Hoossainy | Pediatrics | 5150 Stilesboro Rd., Suite 220, Wellstar Pediatrics At Brookstone, Kennesaw, GA 30152 | 2009-06-23 |
| 1861628141 | Tashawna Thomas Stokes | Pediatrics | 3745 Cherokee St Nw Ste 401, Kennesaw, GA 30144-6787 | 2009-06-01 |
| 1003010976 | Brandi Lewis | Pediatrics | 1180 Ernest W Barrett Pkwy Nw Ste 102b, Kennesaw, GA 30144 | 2007-06-13 |
| 1043320872 | Anabelle Monroe | Pediatrics | Pediatrics Health Care Team A, 750 Townpark Lane, Kennesaw, GA 30144 | 2006-08-30 |
| 1326064007 | Regina Frances Robbins | Pediatrics | 1180 Ernest W Barrett Pkwy Nw, Wellstar Medical Group LLC, Kennesaw, GA 30144-4534 | 2006-07-14 |
| 1588620736 | Briana I Brugner | Pediatrics | 3745 Cherokee St, Ste 401, Kennesaw, GA 30144 | 2006-04-25 |
| 1003870577 | Krishna V Eechampati | Pediatrics | 2985 George Busbee Pkwy Nw, Kennesaw, GA 30144-6812 | 2006-04-13 |
| 1760473276 | Kyoung-soon Kim | Pediatrics | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2005-11-03 |
| Find all providers in KENNESAW | ||||
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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.