SCOTT ALAN WAGENBERG (NPI# 1821020447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821020447 |
| Entity Type | Individual |
| Full Name | SCOTT ALAN WAGENBERG |
| Credential | M.D. |
| Practice Address |
6770 Mayfield Rd Suite 326 Mayfield Hts OH 44124-2299 |
| Practice Telephone | 4404614733 |
| Practice Fax Number | 4404614049 |
| Mailing Telephone | 4404614733 |
| Mailing Fax Number | 4404614049 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35078327 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2209363 | 05 |
| Street Address |
6770 MAYFIELD RD SUITE 326 |
| City | MAYFIELD HTS |
| State | OH |
| Zip Code | 44124-2299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657672 | Y. Victor Shin | Ophthalmology | 6770 Mayfield Rd, Ste 338, Mayfield Hts, OH 44124-2299 | 2005-05-23 |
| 1942750922 | Chelsea Miller | Physician Assistant | 6770 Mayfield Rd, Suite #421, Mayfield Hts, OH 44124-2299 | 2016-10-13 |
| 1770917346 | Deidra Bobincheck | Registered Nurse | 6770 Mayfield Rd, Suite 425, Mayfield Hts, OH 44124-2299 | 2013-08-30 |
| 1780963843 | Cleveland Ear Nose Throat, Inc | Otolaryngology | 6770 Mayfield Rd, Suite 210, Mayfield Hts, OH 44124-2299 | 2011-08-08 |
| 1780991794 | The Cleveland Clinic Foundation | Durable Medical Equipment & Medical Supplies | 6770 Mayfield Rd, Ste 441, Mayfield Hts, OH 44124-2299 | 2010-09-13 |
| 1003059197 | Anna Egriselashvili | Internal Medicine | 6770 Mayfield Rd, 425, Mayfield Hts, OH 44124-2299 | 2009-04-20 |
| 1124272091 | Jamie M Nicholas | Audiologist-Hearing Aid Fitter | 6770 Mayfield Rd, Suite 220, Mayfield Hts, OH 44124-2299 | 2008-11-05 |
| 1477716272 | Berris Optical of Hillcrest Inc. | Eyewear Supplier (Equipment, not the service) | 6770 Mayfield Rd, Mayfield Hts, OH 44124-2299 | 2008-07-02 |
| 1528264801 | Mario A. Delisio Jr. | Technician/Technologist | 6770 Mayfield Rd, Suite # 300, Mayfield Hts, OH 44124-2299 | 2007-06-25 |
| 1154524882 | Michael J. Pollack | Internal Medicine | 6770 Mayfield Rd, Suite 415, Mayfield Hts, OH 44124-2299 | 2007-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657672 | Y. Victor Shin | Ophthalmology | 6770 Mayfield Rd, Ste 338, Mayfield Hts, OH 44124-2299 | 2005-05-23 |
| 1568509487 | Cleveland Eye Specialists and Consultants, Inc. | Ophthalmology | 6803 Mayfield Rd, Suite 109, Mayfield Hts, OH 44124-2271 | 2007-01-31 |
| 1083646699 | Martin Alan Markowitz | Ophthalmology | 6770 Mayfield Rd, Suite 326, Mayfield Hts, OH 44124-2299 | 2006-07-06 |
| 1184653370 | Markowitz & Oberfeld Md, Inc. | Ophthalmology | 6770 Mayfield Rd, Suite 326, Mayfield Hts, OH 44124-2299 | 2006-07-01 |
| 1134158306 | Sheldon Mitchell Oberfeld | Ophthalmology | 6770 Mayfield Rd, Suite 326, Mayfield Hts, OH 44124-2299 | 2006-07-01 |
| 1427051697 | Hillcrest-mayfield Eye Associates, Inc. | Ophthalmology | 6770 Mayfield Rd, Ste 338, Mayfield Hts, OH 44124-2299 | 2005-05-23 |
| 1316940406 | Leonard C. Tucker | Ophthalmology | 6770 Mayfield Rd, Ste 338, Mayfield Hts, OH 44124-2299 | 2005-05-23 |
| 1316940414 | Randal E. March | Ophthalmology | 6770 Mayfield Rd, # 338, Mayfield Hts, OH 44124-2299 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142182 | Tri-state Centers for Sight Inc | Ophthalmology | 8270 Pine Rd, Cincinnati, OH 45236-1900 | 2020-10-22 |
| 1952913311 | Dayton Glaucoma and Cataract Consultants Inc | Ophthalmology | 1222 S Patterson Blvd Ste 300, Dayton, OH 45402-2643 | 2020-08-18 |
| 1497365449 | Victor M Bello Md, LLC | Ophthalmology | 3169 Park East Drive, Suite 306, Parkway Medical Building South, Beachwood, OH 44122-4132 | 2020-08-05 |
| 1922660620 | The Cincinnati Eye Institute Foundation | Ophthalmology | 1574 Claretta Dr, Cincinnati, OH 45231-5405 | 2019-07-02 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1063865863 | Claudine Bellerive | Ophthalmology | Cole Eye Institute 9500 Euclid Avenue I 13, Cleveland, OH 44195-0001 | 2016-07-15 |
| 1396193009 | Arif Omar Khan | Ophthalmology | Ophthalmology Cole Eye Institute I30, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-06-03 |
| 1053768374 | Kevin Halenda | Ophthalmology | Cleveland Clinic Cole Eye Institute 9500 Euclid Ave I30, Cleveland, OH 44195-2536 | 2016-05-17 |
| 1316301765 | Joseph Ling | Ophthalmology | 7001 S Edgerton Rd Ste B, Brecksville, OH 44141-4206 | 2016-04-12 |
| 1568825222 | Matthew Phillip Nicholas | Ophthalmology | 9500 Euclid Ave # I30, Cleveland, OH 44195-4201 | 2016-03-31 |
| Find all providers with the same taxonomy | ||||
| City | MAYFIELD HTS |
| Zip Code | 44124 |
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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.