AARON EUGENE WAGNER (NPI# 1831424365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831424365 |
Entity Type | Individual |
Full Name | AARON EUGENE WAGNER |
Credential | M.D. |
Practice Address |
700 W Ironwood Dr Ste130 Coeur D Alene ID 83814-2656 |
Mailing Address |
Po Box 3868 Spokane WA 99220-3868 |
Practice Telephone | 5092281000 |
Practice Fax Number | 5092529300 |
Mailing Telephone | 5092281000 |
Mailing Fax Number | 5092529300 |
Enumeration Date | 2009-10-16 |
Last Update Date | 2017-03-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD60452009 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447401096 | Aaron S Wagner | Pathology | 87 W Jersey St, Suite 1, Orlando, FL 32806 | 2008-10-01 |
1164439840 | Aaron William Wagner | Dentist | 260 Elmira St, Troy, PA 16947-1204 | 2006-08-02 |
1285947937 | Aaron Jeffrey Wagner | Obstetrics & Gynecology | 100 E Lancaster Ave, Suite 301 Medical Office Bldg South, Wynnewood, PA 19096-3450 | 2010-07-23 |
1770719445 | Aaron Michael Wagner | Surgery | 601 N Flamingo Rd Ste 202, Pembroke Pines, FL 33028-1008 | 2009-06-08 |
Street Address |
700 W IRONWOOD DR STE130 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814-2656 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699771451 | Ronald J Stout | Otolaryngology | 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814-4484 | 2005-06-24 |
1033635180 | Jamie Lee Park | Pharmacist | 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 | 2017-08-21 |
1063944726 | Mandi Nordhagen | Pharmacist | 700 W Ironwood Dr, Suite 228, Coeur D Alene, ID 83814-2656 | 2017-03-31 |
1679004675 | Jamie Cervi-skinner | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-22 |
1982144424 | Carissa Hober | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-02 |
1861939910 | Kellie Kathryn Breaux | Nurse Practitioner | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2017-01-27 |
1902348709 | Michael Watrobka | Physician Assistant | 700 W Ironwood Dr, Suite 120e, Coeur D Alene, ID 83814-2656 | 2016-11-09 |
1841748530 | Elizabeth St John | Physician Assistant | 700 W Ironwood Dr, Ste 341, Coeur D Alene, ID 83814-2656 | 2016-09-12 |
1184076465 | Craig Allred | Audiologist | 700 W Ironwood Dr, Ste 278, Coeur D Alene, ID 83814-2656 | 2016-07-11 |
1962869008 | Natalie Jeane Bartell | Nurse Practitioner | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2016-01-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
Find all providers in zip 83814 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083607477 | Spokane Radiation Oncology Associates P S | Radiology | 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 | 2005-08-31 |
1356333959 | Jon L Griffith | Radiology | 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972604510 | Steven Joseph Todd | Radiology | 500 S 11th Ave Ste 101, Pocatello, ID 83201-4877 | 2006-09-26 |
1477597045 | John E Gamboa | Radiology | 9357 W Emerald St, Boise, ID 83704-9752 | 2006-06-15 |
1508854290 | Norman Robert Willis | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2005-10-07 |
1629060256 | Gary Van Heuvelen | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2005-08-19 |
1982099412 | Corbin Daniel Jacobs | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2015-04-01 |
1447694922 | Daniel H. Miller | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2013-04-26 |
1144563370 | Christina T Gamboa | Radiology | 9357 W Emerald St, Boise, ID 83704 | 2013-04-06 |
1841587094 | Ryan James Bair | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2011-07-07 |
1790930311 | Radiation Oncology Associates, Pllc | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2008-11-24 |
1689714826 | Jennifer L. Robinson | Radiology | 500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 | 2007-02-07 |
Find all providers with the same taxonomy |
City | COEUR D ALENE |
Zip Code | 83814 |
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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.