DR. AUDREY KARIN WAGNER (NPI# 1841465002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841465002 |
| Entity Type | Individual |
| Full Name | DR. AUDREY KARIN WAGNER |
| Credential | MD |
| Practice Address |
345 Saint Paul St Mercy Medical Center, 9th Floor, Icu Baltimore MD 21202-2123 |
| Mailing Address |
5 Chris Eliot Ct Cockeysville MD 21030-1525 |
| Practice Telephone | 4103329610 |
| Mailing Telephone | 2032494367 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 256996 | NY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | D73965 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
D73965 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992161491 | Audrey Wagner | Pharmacist | 727 W Burnside St, Portland, OR 97209-3514 | 2016-01-13 |
| 1699876755 | Audrey Ruth Wagner | Physical Therapist | 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 | 2006-09-25 |
| 1922047679 | Audrey Wagner | Psychologist | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2006-06-06 |
| 1639127152 | Audrey Susan Wagner | Internal Medicine | 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091 | 2006-05-05 |
| Street Address |
345 SAINT PAUL ST MERCY MEDICAL CENTER, 9TH FLOOR, ICU |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528193687 | Patricia Letke | Physician Assistant | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2007-02-22 |
| 1205435831 | Morgan Leigh Mcqueen-bey | Nurse Practitioner | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2020-10-24 |
| 1548867179 | Allison Ann Welling | Physician Assistant | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2020-10-06 |
| 1447877493 | Itta Meira Steiner | Nurse Practitioner | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2020-06-25 |
| 1619511326 | Courtney Steinbacher | Nurse Practitioner | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2019-11-05 |
| 1205477734 | Jamie Huppmann | Nurse Practitioner | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2019-10-07 |
| 1154962231 | Rasha Kafi | Nurse Practitioner | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2019-09-30 |
| 1831656545 | Heran M Abeye | Physician Assistant | 345 Saint Paul St, Baltimore, MD 21202 | 2019-02-28 |
| 1154886158 | Marda Menbere Mengesha | Physician Assistant | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2019-02-04 |
| 1871076927 | Emily Herring Getlan | Physician Assistant | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2018-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1861812182 | Samuel Raouf | Internal Medicine | 5051 Greenspring Ave Ste 302, Baltimore, MD 21209-4358 | 2014-04-25 |
| 1922341338 | Aparna Balasubramanian | Internal Medicine | 1830 E Monument St Fl 5, Department of Pulmonary and Critical Care Medicine, Baltimore, MD 21287-0020 | 2013-04-03 |
| 1053675074 | William Brian Karkowsky | Internal Medicine | 6503 Sanzo Rd Apt F, Baltimore, MD 21209-2412 | 2012-06-25 |
| 1598031429 | Janhavi Athale | Internal Medicine | 600 N Wolfe Street Baltimore, Baltimore, MD 21287-0001 | 2012-03-26 |
| 1679865216 | Jasvinder Singh | Internal Medicine | 9103 Franklin Square Dr Ste 300, Baltimore, MD 21237-3939 | 2011-05-13 |
| 1538450952 | Zaid A Shakir | Internal Medicine | 201 E University Pkwy Dept Of, Baltimore, MD 21218 | 2011-04-20 |
| 1316188428 | Eli B Alegado M.d. PC | Internal Medicine | 4115 Ritchie Hwy, Baltimore, MD 21225-2758 | 2009-03-19 |
| 1427077650 | Grace W Pien | Internal Medicine | 5501 Hopkins Bayview Cir Fl 5, Baltimore, MD 21224-6821 | 2006-07-19 |
| 1689654824 | Saiyad Aleem Sarkar | Internal Medicine | 9103 Franklin Square Blvd., Suite 300, Baltimore, MD 21237-3939 | 2006-01-21 |
| 1194714329 | Steven Jon Schwartz | Internal Medicine | Johns Hopkins University, 600 N. Wolfe Street Meyer 297a, Baltimore, MD 21287-0001 | 2005-10-20 |
| Find all providers in BALTIMORE | ||||
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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.