DIANA WAGNER


Address: 460 Hartford Tpke Ste A, Vernon, CT 06066-4847
Phone: 8608964877

DIANA WAGNER (NPI# 1790893022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790893022
Entity Type Individual
Full Name DIANA WAGNER
Credential M.D.
Practice Address 460 Hartford Tpke Ste A
Vernon
CT 06066-4847
Practice Telephone 8608964877
Practice Fax Number 8608964876
Mailing Telephone 8608964877
Mailing Fax Number 8608964876
Enumeration Date 2006-08-27
Last Update Date 2012-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 47653 WI Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
50129 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 34678700 05

Other Providers DIANA WAGNER

NPI Name Taxonomy Address Enumeration
1710913421 Diana Cypress Wagner Pathology 1500 S. Main St, Fort Worth, TX 76104-4917 2006-06-24
1750713020 Diana Teresa Wagner Physical Therapist 30 Old Schuylkill Rd, Pottstown, PA 19465-7971 2013-08-08
1174616551 Diana J Wagner Audiologist 5500 Knoll North Dr, Suite#320, Columbia, MD 21045-2209 2006-09-30
1821084278 Diana Theresa Wagner Pediatrics 4595 Trueman Boulevard, Hilliard, OH 43026-2576 2005-09-21

Office Location

Street Address 460 HARTFORD TPKE STE A
City VERNON
State CT
Zip Code 06066-4847

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659992204 Kumeh Bestman Social Worker 41 Jeff Road, Vernon, CT 06066 2020-05-05
1114567922 Irina Bratan Nurse Practitioner 35 Talcottvile Road, Vernon, CT 06066 2020-01-09
1457833899 Jessica Elizabeth Navallil Pharmacist 188 Union Street, Vernon, CT 06066 2018-09-02
1528557709 Andre Spence Counselor 66 Orchard St, Vernon, CT 06066 2018-05-03
1992207468 Myeyedr Optometry of Connecticut, LLC Optometrist 400-1 Talcottville Rd, Vernon, CT 06066 2018-03-01
1811425754 Patricia Cosgrove Barresi Occupational Therapy Assistant 1253 Hartford Turnpike, Vernon, CT 06066 2017-05-23
1922539592 Ctuc01 Clinic/Center 179 Talcottville Rd, Vernon, CT 06066 2017-03-24
1558804070 First Choice Health Centers, Inc. Clinic/Center 94 Union Sreet, 2nd Floor, Vernon, CT 06066 2016-12-01
1235685504 Lotus Behavioral Consultation Day Training, Developmentally Disabled Services 3 Raymond Street, Vernon, CT 06066 2016-08-28
1891179537 Heather Deal Nurse Practitioner 347 Hartford Turnpike, Vernon, CT 06066 2015-07-13
Find all providers in zip 06066

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972577518 Yasmine S Khan Internal Medicine 460 Hartford Tpke, Suite A, Vernon, CT 06066-4845 2006-02-13
1962533380 Michael James Lemay Internal Medicine 460 Hartford Tpke, Suite A, Vernon, CT 06066-4845 2007-03-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376103762 Fairfield County Endocrine, LLC Internal Medicine 18 Sunnyside Ln, Westport, CT 06880-1710 2019-06-18
1013458447 James Magner Internal Medicine 1022 Field Dr, Woodbridge, CT 06525-2638 2017-03-18
1952754400 Paul Ryan Charles Sullivan Internal Medicine 1093 Prospect Ave, West Hartford, CT 06105-1104 2016-07-20
1740675818 Vivek Alaigh Internal Medicine 29 Hospital Plz Ste 601, Stamford, CT 06902-3602 2015-04-05
1669801619 Geetika Gupta Internal Medicine 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 2013-11-09
1134562911 Lori Marie De La Portilla Internal Medicine 462 Queen St # 303, Southington, CT 06489-1801 2013-04-11
1346592862 Kathleen Mary O'connell Internal Medicine 9 Stonecrop Ln, Wilton, CT 06897-2405 2012-10-08
1104159037 Robert Aaron Levine Internal Medicine 137 Winthrop Rd, Guilford, CT 06437-1632 2009-09-10
1124209101 Maryanne Horta Bhojwani Internal Medicine 112 Quarry Rd Ste 250, Trumbull, CT 06611-4877 2007-11-19
1366585762 Ann E Taylor Internal Medicine Pfizer, Eastern Point Road, Groton, CT 06340 2007-02-15
Find all providers with the same taxonomy

Competitor

Search similar providers

City VERNON
Zip Code 06066

Improve Information

Please comment or provide details below to improve the information on DIANA WAGNER.

Dataset Information

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.

Trending Searches