MR. SHELDON ERIC WAGNER (NPI# 1730174749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730174749 |
| Entity Type | Individual |
| Full Name | MR. SHELDON ERIC WAGNER |
| Credential | ATC |
| Practice Address |
1900 South Ave La Crosse WI 54601-5467 |
| Mailing Address |
455 19th St S La Crosse WI 54601-5068 |
| Practice Telephone | 6087827300 |
| Practice Fax Number | 6087758614 |
| Mailing Telephone | 6087960111 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1270 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
252-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1900 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519575 | Jeffrey P Reiland | Counselor | 1900 South Ave, La Crosse, WI 54601-5467 | 2005-06-21 |
| 1205435096 | Mathew Scott Schober | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-10-22 |
| 1205435062 | Jaclyn Noelle Schlang | Genetic Counselor, MS | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-10-22 |
| 1801402193 | Lisa Elizabeth Knudtson | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-09-22 |
| 1811511355 | Brittany Cincoski | Physician Assistant | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-06-01 |
| 1316598600 | Kessa Lynn Marie Hughes | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-09-27 |
| 1396304432 | Lauri L Theisen | Registered Nurse | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-06-12 |
| 1114582558 | Nicole Marie Bujnowski | Occupational Therapist | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-05-01 |
| 1275196693 | Sarah Louise Nelson | Counselor | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-04-22 |
| 1821651563 | Leighton A Becher | Pharmacy Technician | 1900 South Ave, La Crosse, WI 54601-5496 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723788 | Nate Dickens | Specialist/Technologist | 721 Ferry St Apt 6, La Crosse, WI 54601-4628 | 2019-04-23 |
| 1669964367 | Kylie Doberstein | Specialist/Technologist | 614 16th St S, La Crosse, WI 54601-4924 | 2018-05-30 |
| 1053860205 | Dana Lynn Jorgensen | Specialist/Technologist | 3335 East Ave S, Apt. 225, La Crosse, WI 54601-7247 | 2016-09-29 |
| 1205214632 | Sarah Montee | Specialist/Technologist | W5467 Timber Creek Trl, La Crosse, WI 54601-3012 | 2015-05-18 |
| 1922496306 | Morgan Mcdougall | Specialist/Technologist | 1601 Badger Street, La Crosse, WI 54601 | 2015-01-07 |
| 1326447327 | Sheena L Cook-fuglsang | Specialist/Technologist | 1725 State Street, Mitchell Hall, Room 10, La Crosse, WI 54601 | 2014-08-15 |
| 1477527596 | Cordial M. Gillette | Specialist/Technologist | 1725 State St, 151 Mitchell Hall, La Crosse, WI 54601-3742 | 2006-02-15 |
| 1649738626 | Kyle Krizan | Specialist/Technologist | 1725 State St, La Crosse, WI 54601-3742 | 2019-03-07 |
| 1730647967 | Mary Rugg | Specialist/Technologist | 1725 State St, La Crosse, WI 54601-3742 | 2019-03-06 |
| 1326505579 | Jordan Marie Paisley | Specialist/Technologist | 1725 State St, La Crosse, WI 54601-3742 | 2019-02-25 |
| Find all providers in LA CROSSE | ||||
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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.