DIANA WAGNER (NPI# 1790893022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 34678700 | 05 |
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 |
Street Address |
460 HARTFORD TPKE STE A |
City | VERNON |
State | CT |
Zip Code | 06066-4847 |
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 Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
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. |
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 |
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 |
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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.