BETH ANN WAGNER (NPI# 1861623084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861623084 |
| Entity Type | Individual |
| Full Name | BETH ANN WAGNER |
| Credential | NP |
| Practice Address |
300 Pasteur Drive Sumc - Peds Physician Billing Mc: 5530 Stanford CA 94305-2200 |
| Practice Telephone | 6504987391 |
| Practice Fax Number | 6507257888 |
| Mailing Telephone | 6504987391 |
| Mailing Fax Number | 6507257888 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP11374 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440138 | Beth Ann Wagner | Student in an Organized Health Care Education/Training Program | 1444 E Main St, Douglassville, PA 19518-9116 | 2020-09-08 |
| 1740660117 | Beth Ellen Wagner | Obstetrics & Gynecology | 800 West Ave S, La Crosse, WI 54601-8806 | 2015-06-01 |
| 1003224478 | Beth Wagner | Physical Therapy Assistant | 4645 Belpar St Nw, Canton, OH 44718-3602 | 2014-07-29 |
| 1871720482 | Beth Ellen Wagner | Family Medicine | 130 Fisher Rd, Hospitalist Program, Berlin, VT 05602-9516 | 2009-06-22 |
| 1033282363 | Beth Schuckman Wagner | Pharmacist | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-11-16 |
| 1336104074 | Beth A. Wagner | Nurse Practitioner | 833 Chestnut Street, Suite 301, Philadelphia, PA 19107-4405 | 2006-04-18 |
| Street Address |
300 PASTEUR DRIVE SUMC - PEDS PHYSICIAN BILLING MC: 5530 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619958998 | Eduardo Vicente Zambrano | Pathology | 300 Pasteur Drive, H1401 M/c 5324 Dept of Pathology, Stanford, CA 94305 | 2005-11-14 |
| 1912525254 | Leonid Chepelev | Radiology | 300 Pasteur Drive, S-072, Stanford, CA 94305-5105 | 2020-07-13 |
| 1861016156 | Ka Wing Calvin Tong | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Room Hc435, Stanford, CA 94305-5207 | 2020-06-02 |
| 1609498864 | Stephanie Reiter | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Stanford, CA 94305-2200 | 2020-05-11 |
| 1750902722 | Deidre Camille Ongaro | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Edwards Building, R309; Stanford University School of M, Stanford, CA 94305-4245 | 2020-05-01 |
| 1881213262 | Cierra S Hong | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Edwards Building R144, Stanford, CA 94305 | 2020-04-15 |
| 1346879855 | Kay Su Hung | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Rm H3591, Stanford, CA 94305-5641 | 2020-04-06 |
| 1649809203 | Jaspreet Pannu | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2020-04-06 |
| 1093344848 | Mallika Tamboli | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2020-04-03 |
| 1891323986 | Ryan S. Chiang | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154515096 | Carol Ann Sherman | Nurse Practitioner | 300 Pasteur Dr # R223, Stanford, CA 94305-2200 | 2007-09-04 |
| 1164634044 | Patricia Ann Murphy | Nurse Practitioner | Stanford Cancer Center, Neuro-oncology, 875 Blake-wilbur Dr. Rm Cc2221a, Stanford, CA 94305-5826 | 2007-05-04 |
| 1710434410 | Mary R Petrucelli | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2016-09-09 |
| 1255627659 | Netra Punjabi | Nurse Practitioner | 300 Pasteur Dr, Room G-313, Stanford, CA 94305-2200 | 2011-06-23 |
| 1609193481 | Janet Lynn Godfrey | Nurse Practitioner | 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 | 2010-05-03 |
| 1174853543 | Dannielle Bina Weil | Nurse Practitioner | 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 | 2010-01-07 |
| 1427382639 | Arlene M Sheehan | Nurse Practitioner | 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 | 2009-09-22 |
| 1306170519 | Nicole L Weigel | Nurse Practitioner | 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 | 2009-09-22 |
| 1316271570 | Adrianna R Miranda | Nurse Practitioner | 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 | 2009-09-21 |
| 1972734366 | Marilyn Grace Lopez | Nurse Practitioner | 300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 | 2009-08-03 |
| Find all providers in STANFORD | ||||
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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.