DR. JASON KANE WAGNER (NPI# 1902168925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902168925 |
| Entity Type | Individual |
| Full Name | DR. JASON KANE WAGNER |
| Credential | M.D. |
| Practice Address |
600 N Cattlemen Rd Ste 220 Sarasota FL 34232-6422 |
| Practice Telephone | 9413716565 |
| Mailing Telephone | 9413716565 |
| Mailing Fax Number | 9413777731 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME13985 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053700765 | Jason Robert Wagner | Counselor | 8728 S 120 E, Sandy, UT 84070-1526 | 2015-01-19 |
| 1821427287 | Jason Leigh Wagner | Counselor | 505 5th St., Suite 520, Sioux City, IA 51101 | 2013-11-06 |
| 1376003517 | Jason Wagner | Student in an Organized Health Care Education/Training Program | 6431 Fannin St # 1.150, Houston, TX 77030-1501 | 2019-03-22 |
| 1720536691 | Jason Fredrick Wagner | Counselor | 6075 Bathey Ln, Naples, FL 34116-7536 | 2016-09-20 |
| 1215329420 | Jason Wagner | Counselor | 2405 28th St, Anacortes, WA 98221-2484 | 2015-02-25 |
| 1457753519 | Jason Wagner | Physician Assistant | 2025 E Route 66, Glendora, CA 91740-4670 | 2014-09-19 |
| 1093014334 | Jason Wagner | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2011-03-25 |
| 1588729768 | Jason E Wagner | Internal Medicine | 3400 Civic Center Blvd, West Pavilion 1st Fl, Philadelphia, PA 19104-5127 | 2006-12-27 |
| 1689641961 | Jason C Wagner | Emergency Medicine | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2006-03-05 |
| 1972594471 | Jason Michael Wagner | Radiology | 940 Ne 13th St, Suite 4g4250, Oklahoma City, OK 73104-5008 | 2005-11-03 |
| Street Address |
600 N CATTLEMEN RD STE 220 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34232-6422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780229 | Douglas A Dorsay | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232-6422 | 2005-06-21 |
| 1356986145 | Kathie M Longwell | Nurse Practitioner | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232-6422 | 2019-11-15 |
| 1104185297 | Daniel John Volpe | Physician Assistant | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232 | 2012-05-09 |
| 1851539407 | Inkyong Kim Parrack | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232 | 2009-02-04 |
| 1497959225 | Richard Christian Hershberger | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232-6422 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1346736923 | Coastal In Home Senior Care | Adult Companion | 2609 Briar Oak Circle, Sarasota, FL 34232 | 2018-07-06 |
| 1508215450 | Stacy Centeno | Nurse Practitioner | 943 S Beneva Rd Ste 210, Sarasota, FL 34232 | 2016-06-10 |
| 1912307265 | Luis Guillermo Guzman | Internal Medicine | 943 S Beneva Rd Ste 201, Sarasota, FL 34232 | 2014-08-23 |
| 1225445190 | At Talitha Cumi Home Care, Inc | Home Health | 4647 Fruitville Rd, Suite 3388, Sarasota, FL 34232 | 2014-07-12 |
| 1790100543 | Ph Sarasota, LLC | Assisted Living Facility | 743 South Beneva Rd, Sarasota, FL 34232 | 2014-03-03 |
| 1437570264 | Leigh Ann Spohn | Occupational Therapy Assistant | 5115 Lahaina Dr., Sarasota, FL 34232 | 2013-12-20 |
| 1770917023 | Florida Mobility Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 5975 Cattlemen Lane, Sarasota, FL 34232 | 2013-08-22 |
| 1912345109 | Cb Medical LLC | Home Health | 619 Cattlemen Rd, Unit 54, Sarasota, FL 34232 | 2013-06-10 |
| 1598009318 | Margaret Donaker | Speech-Language Pathologist | 2727 Teal Ave., Sarastoa, FL 34232 | 2012-11-16 |
| Find all providers in zip 34232 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013232289 | Ryan Stark Suplee | Surgery | 3333 Cattlemen Rd Ste 206, Sarasota, FL 34232 | 2010-03-31 |
| 1780685172 | Michael R. Lepore | Surgery | 600 N Cattlemen Rd, Suite 220, Sarasota, FL 34232 | 2005-08-09 |
| 1790780229 | Douglas A Dorsay | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232-6422 | 2005-06-21 |
| 1851539407 | Inkyong Kim Parrack | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232 | 2009-02-04 |
| 1497959225 | Richard Christian Hershberger | Surgery | 600 N Cattlemen Rd Ste 220, Sarasota, FL 34232-6422 | 2007-06-14 |
| 1841491495 | Deepak Nair | Surgery | 600 N Cattlemen Rd, #220, Sarasota, FL 34232 | 2007-05-30 |
| 1104884584 | Issam D Soussou | Surgery | 3333 Cattlemen Rd, Suite 206, Sarasota, FL 34232-6056 | 2006-05-03 |
| 1073578563 | Vascular Associates of Sarasota | Surgery | 600 N Cattlemen Rd, Suite 220, Sarasota, FL 34232-6410 | 2006-04-19 |
| 1205837416 | Russell Howard Samson | Surgery | 600 N Cattlemen Rd, Suite 220, Sarasota, FL 34232-6410 | 2005-08-10 |
| 1215938618 | David Paul Showalter | Surgery | 600 N Cattlemen Rd, Suite 220, Sarasota, FL 34232-6410 | 2005-08-09 |
| Find all providers in SARASOTA | ||||
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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.