AMY E. WAGNER (NPI# 1760556856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760556856 |
| Entity Type | Individual |
| Full Name | AMY E. WAGNER |
| Practice Address |
955 Ribaut Road Beaufort Memorial Hospital Bmac 4th Floor Beaufort SC 29902 |
| Mailing Address |
989 Ribaut Rd. Suite 260 Beaufort Memorial Primary Care Beaufort SC 29902 |
| Practice Telephone | 8436941722 |
| Practice Fax Number | 8435227430 |
| Mailing Telephone | 8435227600 |
| Mailing Fax Number | 8435221256 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A18249 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642937 | Amy Danielle Wagner | Marriage & Family Therapist | 523 Dixie St Ste 5, Carrollton, GA 30117-3870 | 2019-01-09 |
| 1649695628 | Amy L. Wagner | Behavioral Analyst | 1128 Beville Road, Suite A, Daytona Beach, FL 32114 | 2014-02-27 |
| 1538463997 | Amy Lyn Wagner | Occupational Therapist | 2820 E 53rd Ave, Apt # 48, Spokane, WA 99223-7962 | 2010-12-28 |
| 1710033097 | Amy E Wagner | Physical Therapist | 1428 S Marengo Ave, Alhambra, CA 91803-3001 | 2007-01-26 |
| 1568516698 | Amy Claire Wagner | Psychologist | 104 Central Park Ave, Wilmette, IL 60091-3202 | 2007-01-23 |
| 1174186217 | Amy Marie Wagner | Student in an Organized Health Care Education/Training Program | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-15 |
| 1639654437 | Amy Elizabeth Wagner | Speech-Language Pathologist | 631 Main Street, Richfield, PA 17086 | 2018-09-27 |
| 1568989697 | Amy S Wagner | Counselor | 3544 Edgewater Dr, Orlando, FL 32804-2922 | 2017-08-29 |
| 1942742804 | Amy Nicole Wagner | Nurse Practitioner | 150 N Robertson Blvd, Beverly Hills, CA 90211-2142 | 2016-11-09 |
| 1801340393 | Amy Wagner | Counselor | 2272 95th St, Unit 305, Naperville, IL 60564-8942 | 2016-08-12 |
| Street Address |
955 RIBAUT ROAD BEAUFORT MEMORIAL HOSPITAL BMAC 4TH FLOOR |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417928268 | Low Country Anesthesia, Pa | Anesthesiology | 955 Ribaut Road, Beaufort, SC 29902 | 2006-01-30 |
| 1770762205 | Amanda E. Kessler | Physician Assistant | 955 Ribaut Road, Beaufort, SC 29902-5441 | 2007-11-01 |
| 1790987063 | Ronald A Kolb | Registered Nurse | 955 Ribaut Road, Beaufort, SC 29902-5441 | 2007-05-31 |
| 1831246784 | George Simmons | Anesthesiology | 955 Ribaut Road, Beaufort, SC 29902-5441 | 2007-01-04 |
| 1154380491 | Robert H. Copeland | Nurse Anesthetist, Certified Registered | 955 Ribaut Road, Beaufort, SC 29902 | 2006-03-23 |
| 1770542185 | Lucyle J. Copeland | Nurse Anesthetist, Certified Registered | 955 Ribaut Road, Beaufort, SC 29902 | 2006-03-23 |
| 1790752939 | Dennis J. Bailey | Nurse Anesthetist, Certified Registered | 955 Ribaut Road, Beaufort, SC 29902 | 2006-03-07 |
| 1881661981 | Cathryn L. Ritchie | Nurse Anesthetist, Certified Registered | 955 Ribaut Road, Beaufort, SC 29902 | 2006-03-07 |
| 1871560011 | Christina R. Crosby | Nurse Anesthetist, Certified Registered | 955 Ribaut Road, Beaufort, SC 29902 | 2006-03-07 |
| 1134196389 | Brenda G. Leming | Nurse Anesthetist, Certified Registered | 955 Ribaut Road, Beaufort, SC 29902 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598121642 | Cape Lookout Primary Care, PC | Nurse Practitioner | 345 Hwy 70 Otway, Beaufort, NC 28516-6521 | 2016-01-05 |
| 1679642870 | Christine N. Houser | Nurse Practitioner | Agape Senior Primary Care Inc, 11 Todd Drive, Beaufort, SC 29902 | 2006-11-06 |
| 1629099577 | Laura Ellen Holland | Nurse Practitioner | 301 Jones Avenue, Beaufort, NC 28516 | 2006-07-23 |
| 1811509854 | Angelica Grace Romasko | Nurse Practitioner | 670 Boulevard De France, Beaufort, SC 29902 | 2020-08-20 |
| 1134628373 | Leigh Jacobs | Nurse Practitioner | 16 Kemmerlin Ln Ste A, Beaufort, SC 29907-2709 | 2018-02-02 |
| 1356695613 | North River Primecare PC | Nurse Practitioner | 301 Jones Ave, Beaufort, NC 28516-1514 | 2012-11-07 |
| 1902152911 | Ronda Inga Oconnell | Nurse Practitioner | 989 Ribaut Rd, Suite 260, Beaufort, SC 29902-5472 | 2012-07-27 |
| 1720383854 | Jimmie Howell Toler | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2011-01-21 |
| 1750579967 | Beverly Ann Reilly | Nurse Practitioner | 335 Pleasant Point Dr, Beaufort, SC 29907-1164 | 2007-10-12 |
| 1942260153 | Margaret A Bisceglia | Nurse Practitioner | Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd, Ste 210, Beaufort, SC 29902-5472 | 2006-03-23 |
| Find all providers in BEAUFORT | ||||
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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.