DR. RICHARD GEORGE WAGNER JR. (NPI# 1750380499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750380499 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GEORGE WAGNER JR. |
| Credential | M.D. |
| Practice Address |
519 Ocean Blvd Isle of Palms SC 29451-2132 |
| Practice Telephone | 4047351730 |
| Mailing Telephone | 4047351730 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2017-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD40355 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528304334 | Richard Wagner | Counselor | 5132 Mimosa Drive, Bellaire, TX 77401 | 2012-12-26 |
| 1326359423 | Richard Ross Wagner | Pharmacist | 3282 Bethel Rd Se, Port Orchard, WA 98366-5603 | 2010-06-23 |
| 1871814624 | Richard Adam Wagner | Family Medicine | 295 County Hwy. 156, Johnstown, NY 12095-4123 | 2010-06-16 |
| 1134443559 | Richard Alan Wagner | Pharmacist | 23631 Dane Ct, Laguna Niguel, CA 92677-4618 | 2010-03-15 |
| 1043470214 | Richard W Wagner Jr. | Dentist | 123 W Franklin St, Suite 201, Chapel Hill, NC 27516-2524 | 2008-06-11 |
| 1962621631 | Richard Wagner | Specialist | 1789 Rebecca Lane, Coupeville, WA 98239-0339 | 2007-04-24 |
| 1770700957 | Richard M Wagner | Dentist | 1925 South Green Bay Rd, Racine, WI 53406-4654 | 2007-04-19 |
| 1619019676 | Richard Chisholm Wagner | Dentist | 1150 S King St Ste 303, Honolulu, HI 96814-1951 | 2007-02-13 |
| 1134236334 | Richard Laverne Wagner | Psychiatry & Neurology | 12 Benevolent St, Providence, RI 02906-1103 | 2006-08-24 |
| 1669488946 | Richard Wagner | Psychiatry & Neurology | 101 Lions Dr, Suite 119, Barrington, IL 60010-3181 | 2006-07-31 |
| Street Address |
519 OCEAN BLVD |
| City | ISLE OF PALMS |
| State | SC |
| Zip Code | 29451-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235167784 | Brian Athan Armstrong | Specialist | 17 23rd Ave., Isle of Palms, SC 29451 | 2006-06-30 |
| 1225081946 | Thomas W Uhde | Psychiatry & Neurology | 67 President St, Msc 861, Medical University of Sc, Charleston, SC 29451 | 2006-05-17 |
| 1063993178 | Alyssa Insabella | Occupational Therapy Assistant | 9565 Hwy 78, Bldg. 700, Ste. 102, Ladson, SC 29451 | 2018-08-27 |
| 1063646461 | Meghan Barbara Casey | Behavioral Analyst | 501 Palm Blvd, Isle of Palms, SC 29451-2139 | 2009-05-13 |
| 1215148986 | Larry D Amick | Pharmacist | 505 Palm Blvd, Isle of Palms, SC 29451-2139 | 2007-05-24 |
| 1770819575 | Aspire | Community/Behavioral Health | 501 Palm Blvd, Isle of Palms, SC 29451-2139 | 2009-10-29 |
| 1316076607 | Neil S Oconnor | Podiatrist | 402 Palm Blvd, Isle of Palms, SC 29451-2146 | 2007-03-05 |
| 1275929218 | Delta of Isle of Palms LLC | Pharmacy | 1400 Palm Blvd, Isle of Palms, SC 29451-2280 | 2015-04-07 |
| 1962801621 | Joseph Gandy | Pharmacist | 1400 Palm Blvd, Suite E, Isle of Palms, SC 29451-2280 | 2014-08-19 |
| 1780682195 | Kathleen Ruth Malaney | Family Medicine | 1202 Palm Blvd, Suite A, Isle of Palms, SC 29451-2296 | 2005-07-09 |
| Find all providers in zip 29451 | ||||
| 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 |
|---|---|---|---|---|
| 1750981833 | Kaitlyn Marie Skelston | Pediatrics | 2828 Bayboro St, Loris, SC 29569-2710 | 2020-10-28 |
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1952911075 | Medical University Hospital Authority | Pediatrics | 838 W Meeting St Ste E, Lancaster, SC 29720-6261 | 2020-08-04 |
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1023632809 | Caitlin Marie Stoll | Pediatrics | 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 | 2020-06-08 |
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1134743420 | Elizabeth Alden Mccants | Pediatrics | 125 Doughty St Ste 520d, Charleston, SC 29403-5736 | 2020-06-02 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1265066658 | Sahar Alavi | Pediatrics | 1439 Cambridge Lakes Dr, Mount Pleasant, SC 29464-7301 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | ISLE OF PALMS |
| Zip Code | 29451 |
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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.