PAMELA WAGNER (NPI# 1740433309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740433309 |
| Entity Type | Individual |
| Full Name | PAMELA WAGNER |
| Credential | L.M.T. |
| Practice Address |
2577 Sheridan Dr Tonawanda NY 14150-9411 |
| Mailing Address |
423 Borden Rd Buffalo NY 14224-1723 |
| Practice Telephone | 7164323217 |
| Mailing Telephone | 7164323217 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 013268-1 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730547274 | Pamela Wagner | Dietitian, Registered | 2134 Handel Ave, Henderson, NV 89052-5723 | 2016-01-28 |
| 1649443805 | Pamela Lou Wagner | Counselor | 17301 Statesville Rd, Cornelius, NC 28031-9353 | 2008-04-09 |
| 1992881064 | Pamela Coy Wagner | Nurse Practitioner | 899 Fm 632, Kenedy, TX 78119-4516 | 2006-10-31 |
| 1932179892 | Pamela Wagner | Physician Assistant | 2900 Chanticleer Ave., Santa Cruz, CA 95065-1816 | 2006-01-24 |
| 1861681637 | Pamela Wagner | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2007-10-17 |
| 1124233184 | Pamela H.s. Wagner | Ophthalmology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-05-13 |
| 1104880418 | Pamela E. Wagner | Nurse Anesthetist, Certified Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-04-13 |
| Street Address |
2577 SHERIDAN DR |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14150-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780961904 | Anthony M. Caruso, Dc, PC | Chiropractor | 2577 Sheridan Dr, Tonawanda, NY 14150-9411 | 2011-11-16 |
| 1225324072 | Christina Theresa Trzaska | Chiropractor | 2577 Sheridan Dr, Tonawanda, NY 14150-9411 | 2011-06-21 |
| 1437482056 | Keith D Mondschein | Chiropractor | 2577 Sheridan Dr, Tonawanda, NY 14150-9411 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349338 | Jennifer Legrand | Dietitian, Registered | 62 Raintree Is Apt 10, Tonawanda, NY 14150 | 2019-08-01 |
| 1245707934 | Anthony John Dellavalle | Emergency Medicine | 341 Niagara Street, Tonawanda, NY 14150 | 2018-10-31 |
| 1871088450 | Karen Mittlefehldt | Physical Therapist | 2540 Sheridan Drive, Tonawanda, NY 14150 | 2018-06-26 |
| 1871017194 | Amanda Beth Mrzygut | Emergency Medical Technician, Basic | 269 Mapleview Dr, Tonawanda, NY 14150 | 2017-07-28 |
| 1700248648 | Nathan Willett | Technician, Other | 432 Forbes Ave., Tonawanda, NY 14150 | 2016-03-21 |
| 1831555432 | Safe Ride of Wny Inc | Taxi | 2813 Niagara St, Tonawanda, NY 14150 | 2016-01-12 |
| 1447509278 | Nancy Lynne Haas | Licensed Practical Nurse | 173 Linwood Ave, Tonawanda, NY 14150 | 2012-09-07 |
| 1558646331 | Nancy Cliff | Registered Nurse | 39 O'hara Rd, Tonawanda, NY 14150 | 2011-10-12 |
| 1801195979 | Joann Mirabella | Speech-Language Pathologist | 313 Wrexham Ct. North, Tonawanda, NY 14150 | 2011-03-15 |
| 1841593829 | Marie A Burger | Social Worker | 130 Syracuse St., Tonawanda, NY 14150 | 2010-12-13 |
| Find all providers in zip 14150 | ||||
| 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 |
|---|---|---|---|---|
| 1669831665 | Stephanie Reinhardt | Specialist | 177 Puritan Rd, Tonawanda, NY 14150-8527 | 2016-02-18 |
| 1164786752 | Kerry Byrnes | Specialist | 131 Avon Rd, Tonawanda, NY 14150-8403 | 2012-06-27 |
| 1841552874 | Cynthia Thiebolt | Specialist | 318 Morgan St, Tonawanda, NY 14150-2027 | 2012-06-14 |
| 1871855932 | Karen Ann Mendola | Specialist | 94 Glenhurst Rd, Tonawanda, NY 14150-8422 | 2012-06-13 |
| 1528329802 | Jessica Lynn Dominesey | Specialist | 276 Hinds St, Tonawanda, NY 14150-3727 | 2012-06-04 |
| 1558548453 | Tami Lynn Russo | Specialist | 221 Highland Pkwy, Tonawanda, NY 14223-1407 | 2008-01-23 |
| 1477589935 | Federico Gonzalez-doldan | Specialist | 585 Delaware St, Tonawanda, NY 14150-5300 | 2006-06-24 |
| 1588669741 | Bonny Lou Owens | Specialist | 1405 Sheridan Dr, Tonawanda, NY 14217-1248 | 2005-06-15 |
| 1487143814 | Stephanie Regina Barlow | Specialist | 205 Yorkshire Rd, Tonawanda, NY 14150-8350 | 2018-05-01 |
| 1457848129 | Holly Rogone | Specialist | 205 Yorkshire Rd, Tonawanda, NY 14150-8350 | 2018-04-18 |
| Find all providers in TONAWANDA | ||||
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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.