DAVID D WAGNER (NPI# 1881038925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881038925 |
| Entity Type | Individual |
| Full Name | DAVID D WAGNER |
| Credential | M.D. |
| Practice Address |
1555 Soquel Dr Santa Cruz CA 95065-1705 |
| Mailing Address |
2100 Powell St Suite 900 Emeryville CA 94608-1826 |
| Practice Telephone | 8314627700 |
| Mailing Telephone | 5108517441 |
| Mailing Fax Number | 5108799077 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 9149605-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | A142670 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538236757 | David Michael Wagner | Counselor | 8335 40th Ave N, St Petersburg, FL 33709-3934 | 2006-11-30 |
| 1912079823 | David A Wagner Sr. | Dentist | 43 East Mills Street, Columbus, NC 28722 | 2006-11-15 |
| 1205917523 | David Wagner | Dentist | 1919 N Pearl St Ste A3, Tacoma, WA 98406-2456 | 2006-10-17 |
| 1255444345 | David Robert Wagner | Chiropractor | 3107 W Slaughter Ln, Austin, TX 78748-5574 | 2006-08-16 |
| 1265448328 | David C Wagner | Physical Therapist | 3105 Main St, Marlette, MI 48453-1508 | 2006-07-31 |
| 1821012105 | David Wagner | Internal Medicine | 135 East 37th St, New York, NY 10016 | 2006-07-27 |
| 1295754778 | David A Wagner | Optometrist | 3285 State Route 257, Seneca, PA 16346-2529 | 2006-07-18 |
| 1508847997 | David Scott Wagner | Chiropractor | 31285 Temecula Pkwy Ste 260, Temecula, CA 92592-6830 | 2005-11-11 |
| 1821085168 | David Edwin Wagner | Dentist | 5992 Howdershell Rd, Ste 206, Hazelwood, MO 63042-4107 | 2005-10-03 |
| 1326046897 | David Gordon Wagner | Specialist | 14955 Shady Grove Rd, Suite 125, Rockville, MD 20850-8700 | 2005-07-08 |
| Street Address |
1555 SOQUEL DR |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073583811 | Kathleen Dempsey | Nurse Practitioner | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2006-01-24 |
| 1073148235 | James Douglas Bergum | Perfusionist | 1555 Soquel Dr, Santa Cruz, CA 95065-1794 | 2020-03-09 |
| 1790335636 | Melissa L Herceg | Social Worker | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2019-09-12 |
| 1720633597 | Bonny Masters Md Inc | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2019-08-07 |
| 1851869606 | Brian Nalley | Pharmacist | 1555 Soquel Dr, Santa Cruz, CA 95065-1794 | 2018-11-09 |
| 1619401460 | Emily P Otto | Registered Nurse | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2017-04-19 |
| 1104289040 | Brook Goddard | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2016-03-29 |
| 1750754776 | Lora Boone | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Dominican Hospital, Santa Cruz, CA 95065 | 2015-11-13 |
| 1427433408 | Terrie M Uzunangelov | Speech-Language Pathologist | 1555 Soquel Dr, Santa Cruz, CA 95065 | 2015-07-20 |
| 1649662131 | David Goldman | Anesthesiology | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2015-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821137845 | Lori-ann Tracy | Emergency Medicine | 216 Laguna St, Santa Cruz, CA 95060-6108 | 2007-02-06 |
| 1356490676 | Steven Richard Silverstein | Emergency Medicine | 143 Grunewald Ct, Santa Cruz, CA 95065-1213 | 2007-01-09 |
| 1104289040 | Brook Goddard | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2016-03-29 |
| 1669805594 | Heidi May Goddard | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065 | 2013-08-14 |
| 1952643207 | Ranvir Singh | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2013-03-25 |
| 1811274483 | Cep America - California | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2011-11-10 |
| 1063704195 | Christopher John Wesselman | Emergency Medicine | 1555 Soquel Dr, Dominican Hospital Emergency Dept, Santa Cruz, CA 95065-1705 | 2011-05-08 |
| 1811213945 | Laura Michelle Destro | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2010-04-14 |
| 1932341575 | Rebecca Wurster | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2009-03-27 |
| 1023270063 | John Grady | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2008-07-01 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
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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.