DR. JAMES W. WAGNER (NPI# 1841221660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841221660 |
| Entity Type | Individual |
| Full Name | DR. JAMES W. WAGNER |
| Credential | M.D. |
| Practice Address |
1 Hurley Plz 7b West Bldg Flint MI 48503-5902 |
| Mailing Address |
18101 Oakwood Blvd Trauma Services Dept Dearborn MI 48123-2500 |
| Practice Telephone | 8102629355 |
| Practice Fax Number | 8107609954 |
| Mailing Telephone | 3139825440 |
| Mailing Fax Number | 3139825445 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
4301054569 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
4301054569 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD OF MI | 0B56029 | 01 |
| MI | 4511761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965234 | James Wagner | Physical Therapy Assistant | 316 Madison St, Niles, MI 49120-3128 | 2018-03-08 |
| 1245740687 | James Wagner | Marriage & Family Therapist | 2324 University Ave W Ste 100, Saint Paul, MN 55114-8759 | 2017-10-11 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1598969545 | James William Wagner | Chiropractor | 9574 Murray Dr, La Mesa, CA 91942 | 2007-06-13 |
| 1326188293 | James George Wagner | Obstetrics & Gynecology | 8000 Ave. J.t. Pinero, Plaza Cayey, Of. 204, Cayey, PR 00736 | 2007-02-08 |
| 1851469480 | James P Wagner | Family Medicine | 708 Viand Street, Point Pleasant, WV 25550 | 2006-12-01 |
| 1255412615 | James Allen Wagner | Rehabilitation Counselor | 11301 Wilshire Bl., Los Angeles, CA 90073 | 2006-10-18 |
| 1073536934 | James D Wagner | Internal Medicine | 890 Beaver Grade Rd Ste 3, Moon Township, PA 15108-2653 | 2006-07-25 |
| 1295783256 | James M Wagner | Dentist | 2620 Regatta Dr, 110, Las Vegas, NV 89128-6891 | 2006-05-04 |
| 1306804448 | James Blake Wagner | Physical Therapist | 1525 Country Club Rd, Sherwood, AR 72120-5076 | 2006-05-01 |
| Street Address |
1 HURLEY PLZ 7B WEST BLDG |
| City | FLINT |
| State | MI |
| Zip Code | 48503-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567053 | Robert Welch | Obstetrics & Gynecology | 1 Hurley Plz, Flint, MI 48503-5902 | 2005-06-13 |
| 1114526076 | Vin Zephyr Swift | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-10-21 |
| 1245843275 | Bashir Imam | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-28 |
| 1639789837 | Hadeel Allam | Pediatrics | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-03 |
| 1629687637 | Tazeen Qureshi | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-26 |
| 1831707157 | Samira Ali | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-22 |
| 1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
| 1609492164 | Monica Rani Julapelly | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-21 |
| 1992321830 | Brittany Radler | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-16 |
| 1073137071 | Kirsten Nicole Bonifacio | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043627425 | Ghassan Al Ramahi | Surgery | One Hurley Plaza, 7b Floor, Trauma Service, Flint, MI 48503 | 2014-07-17 |
| 1861733123 | Patrick Richard Beer | Surgery | 1 Hurley Plz, Flint, MI 48503-5902 | 2013-03-12 |
| 1699012450 | Hussein Mazloum Md PC | Surgery | 1020 Charter Dr, Suite A, Flint, MI 48532-3584 | 2013-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548600638 | Td Oweis Md Plc | Surgery | 1528 Lawndale Dr, Royal Oak, MI 48067-1158 | 2013-07-03 |
| 1417249442 | Victoria Lynn Sharp | Surgery | 5301 E Huron River Dr Ste 2428, Ypsilanti, MI 48197-1051 | 2011-05-10 |
| 1427660489 | Violet Onkoba Do Pllc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-08-20 |
| 1285259457 | Scott Barnes Do Plc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-06-12 |
| 1124642632 | Sheer Surgical Pllc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-06-01 |
| 1588222830 | Aaron James Tice | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2019-06-02 |
| 1720560055 | Kaely Shaye Schlosser | Surgery | 100 Michigan St Ne Ste 8830, Grand Rapids, MI 49503-2560 | 2018-09-04 |
| 1982146866 | United Trauma Care Plc | Surgery | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-11-09 |
| 1730415753 | Acute Care Surgeons PC | Surgery | 22101 Moross Rd, Detroit, MI 48236-2148 | 2009-10-27 |
| 1710213731 | Critical Care Surgeons Pllc | Surgery | 22101 Moross Rd, Detroit, MI 48236-2148 | 2009-10-27 |
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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.