AARON EUGENE WAGNER


Address: 700 W Ironwood Dr, Ste130, Coeur D Alene, ID 83814-2656
Phone: 5092281000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
MD60452009 WA Allopathic & Osteopathic Physicians

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1770719445 Aaron Michael Wagner Surgery 601 N Flamingo Rd Ste 202, Pembroke Pines, FL 33028-1008 2009-06-08

Office Location

Street Address 700 W IRONWOOD DR
STE130
City COEUR D ALENE
State ID
Zip Code 83814-2656

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City COEUR D ALENE
Zip Code 83814

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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.

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