BETH ELLEN WAGNER (NPI# 1871720482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871720482 |
| Entity Type | Individual |
| Full Name | BETH ELLEN WAGNER |
| Credential | DO |
| Practice Address |
130 Fisher Rd Hospitalist Program Berlin VT 05602-9516 |
| Mailing Address |
Po Box 547 Att: Cvmc Finance Dept Barre VT 05641-0547 |
| Practice Telephone | 8022251743 |
| Practice Fax Number | 8022251745 |
| Mailing Telephone | 8022251743 |
| Mailing Fax Number | 8022251745 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 032.0095970 | VT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5247 | AK | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 032.0095970 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD0914 | 05 | |
| VT | 1022074 | 05 |
| 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 |
| 1861623084 | Beth Ann Wagner | Nurse Practitioner | 300 Pasteur Drive, Sumc - Peds Physician Billing Mc: 5530, Stanford, CA 94305-2200 | 2009-08-05 |
| 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 |
130 FISHER RD HOSPITALIST PROGRAM |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067063 | Michael S Cohn | Urology | 130 Fisher Rd, Mob-c, Ste 1, Berlin, VT 05602-9516 | 2005-07-18 |
| 1194384974 | David Alexander Segel | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-06-06 |
| 1497210959 | Brenda Neff | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-02-08 |
| 1861969412 | Michael Ed Shaw | Physician Assistant | 130 Fisher Rd, Berlin, VT 05602-9516 | 2018-10-31 |
| 1750819371 | Jamie D Bariteau | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2017-05-25 |
| 1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
| 1457809238 | Bonnie Solley | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2016-09-21 |
| 1598150914 | Melissa Beaudry | Nurse Practitioner | 130 Fisher Rd, Mob-b Suite 3, Berlin, VT 05602 | 2015-04-02 |
| 1508256843 | Heidi Eames | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2015-01-26 |
| 1053725200 | Brett Erdreich | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1841587839 | Brian L Rodriguez | Family Medicine | 130 Fisher Rd., Ste. #3-1, Fahc-berlin Family Practice, Berlin, VT 05602 | 2011-06-29 |
| 1134428105 | Community Health Network | Family Medicine | W832 State Road 91, Ste 3, Berlin, WI 54923-8821 | 2011-03-16 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| 1306016050 | Atco Family Medical Associates, PC | Family Medicine | 10 Gardens Avenue, Berlin, NJ 08009-2104 | 2008-03-10 |
| 1336325596 | Jill E. Moorcroft | Family Medicine | 279 New Britain Rd, #6, Origins of Health, LLC, Berlin, CT 06037 | 2008-01-17 |
| 1902087190 | Richard Andrews Crandall IIi | Family Medicine | 1093 Brookfield Rd, Berlin, VT 05602-9065 | 2007-11-16 |
| 1174635536 | Angela L Gibbs | Family Medicine | 11200 Racetrack Rd, Ste A104, Berlin, MD 21811-3809 | 2006-08-31 |
| 1053347708 | Jennifer Brennan Bamford | Family Medicine | 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602 | 2006-06-24 |
| Find all providers in BERLIN | ||||
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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.