DR. MARY H WAGNER (NPI# 1770523813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770523813 |
| Entity Type | Individual |
| Full Name | DR. MARY H WAGNER |
| Credential | MD |
| Practice Address |
1600 Sw Archer Rd Gainesville FL 32610-3003 |
| Mailing Address |
Po Box 918025 Orlando FL 32891-8025 |
| Practice Telephone | 3523924458 |
| Practice Fax Number | 3523929802 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
ME42003 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753185 | Mary Elizabeth Wagner | Registered Nurse | 1804 Connemara Ln, Lafayette, IN 47905-7935 | 2020-08-31 |
| 1730462755 | Mary E Wagner | Durable Medical Equipment & Medical Supplies | 2549 Odaniel Rd, Seguin, TX 78155-1240 | 2011-09-26 |
| 1720361033 | Mary Elaine Wagner | Pharmacist | 1364 Westdale Ave, Winter Park, FL 32792-6059 | 2011-09-22 |
| 1669622049 | Mary Ellen Wagner | Speech-Language Pathologist | 8437 Northcote Ave, Munster, IN 46321-2023 | 2008-09-23 |
| 1518050731 | Mary Abigail Wagner | Counselor | 5569 Broadcast Ct, Lakewood Ranch, FL 34240-8472 | 2006-10-02 |
| 1043251358 | Mary Jo Wagner | Occupational Therapist | 54 Parramatta Rd, Beverly, MA 01915-1970 | 2006-06-09 |
| 1427040203 | Mary K. Wagner | Pediatrics | 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216-1092 | 2005-08-18 |
| 1497397616 | Mary Beth Wagner | Massage Therapist | 1400 Executive Pkwy Ste 220, Eugene, OR 97401-7109 | 2019-10-09 |
| 1144702606 | Mary Wagner | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2018-08-31 |
| 1902329394 | Mary Elizabeth Wagner | Speech-Language Pathologist | 525 W Oakland Ave, Johnson City, TN 37604-1672 | 2017-07-18 |
| Street Address |
1600 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699039123 | Carmen Elisa Leon Astudillo | Pediatrics | 1600 Sw Archer Rd # 100296, Gainesville, FL 32610 | 2012-06-29 |
| 1083790570 | Sreekala Prabhakaran | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-10-27 |
| 1619995412 | Pamela Margaret Schuler | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-18 |
| 1215968052 | Sarah E Chesrown | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023385507 | Yanerys M Colon-cortes | Pediatrics | 2 Tampa General Cir # 5th, Tampa, FL 33606-3603 | 2011-11-28 |
| 1144537077 | Kidz Medical Services | Pediatrics | 6280 Sw 72nd St Ste 607, South Miami, FL 33143-4875 | 2010-09-14 |
| 1972829828 | Alicia Claudia Della Volpe | Pediatrics | 3200 Sw 60th Ct Ste 203, Miami, FL 33155-4070 | 2010-04-18 |
| 1437340676 | Marie Myrtha Gregoire-bottex | Pediatrics | 1580 Nw 10th Ave Fl 1, Miami, FL 33136-1013 | 2007-08-05 |
| 1629283460 | Claudia Fernandez | Pediatrics | 2301 N University Dr Ste 107, Pembroke Pines, FL 33024-3617 | 2007-05-14 |
| 1790889996 | Mario Rub | Pediatrics | 20776 W Dixie Hwy, Miami, FL 33180 | 2006-09-11 |
| 1083636443 | Daniel Hsu | Pediatrics | 3377 South State Rd 7, Suite 100, Wellington, FL 33449 | 2006-07-24 |
| 1538192281 | Shahriar Shahzeidi | Pediatrics | 1717 N Bayshore Drive, Suite 217, Miami, FL 33132-1013 | 2006-07-08 |
| 1255398368 | Robert C Beckerman | Pediatrics | 13621 Perdido Key Dr Unit W403, Pensacola, FL 32507-7488 | 2006-05-01 |
| 1255397295 | Oscar Alejandro Alea | Pediatrics | 12748 University Dr, Fort Myers, FL 33907-5634 | 2006-04-26 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
Please comment or provide details below to improve the information on DR. MARY H WAGNER.
| 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.