DR. JEAN EVELYN VOGEL WAGNER (NPI# 1902909153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902909153 |
| Entity Type | Individual |
| Full Name | DR. JEAN EVELYN VOGEL WAGNER |
| Other Name | DR. JEAN EVELYN VOGEL |
| Credential | M.D. |
| Practice Address |
1230 George E Chance Parkway Caseyville IL 62232 |
| Practice Telephone | 6183455437 |
| Practice Fax Number | 6183449246 |
| Mailing Telephone | 6183455437 |
| Mailing Fax Number | 6183449246 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036105844 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036105844 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730629361 | Jean Marie Wagner | Marriage & Family Therapist | 7580 160th St W, Lakeville, MN 55044-8348 | 2017-03-01 |
| 1801114012 | Jean Wagner | Naturopath | 425 S Main St, Ste. 201, Rochester, MI 48307-6729 | 2010-05-12 |
| 1992723464 | Jean D. Wagner | Dietitian, Registered | 411 Lincoln St, Neenah, WI 54956-2753 | 2006-07-17 |
| 1972577153 | Jean A Wagner | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-15 |
| Street Address |
1230 GEORGE E CHANCE PARKWAY |
| City | CASEYVILLE |
| State | IL |
| Zip Code | 62232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659850451 | Allison R Tojo | Counselor | Gateway Foundation, Inc., 600 W. Lincoln Avenue, Caseyville, IL 62232 | 2018-08-13 |
| 1265818025 | Jessica Penny | Developmental Therapist | 435 S 4th St, Caseyville, IL 62232 | 2015-08-04 |
| 1477849909 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 600 W. Lincoln Street, East, Caseyville, IL 62232 | 2011-06-23 |
| 1215922000 | Mark Edward Mcgranahan | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2005-09-16 |
| 1053577387 | A To Z Pediatrics, LLP | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2008-08-06 |
| 1699884825 | Lori Lee Eberhart | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2006-08-30 |
| 1811517360 | Shawna Renae Galonda Herndon | Massage Therapist | 16 E Reynolds St, Caseyville, IL 62232-1014 | 2020-04-24 |
| 1851889331 | Melissa Hill | Pediatrics | 1230 Tanglewood Pkwy, Caseyville, IL 62232-1101 | 2018-04-30 |
| 1407491319 | Joseph Daesch | Nurse Practitioner | 1230 Tanglewood Pkwy, Caseyville, IL 62232-1101 | 2019-11-14 |
| 1265667224 | Hollywood Heights Fire Department | Emergency Response System Companies | 1214 Hollywood Heights Rd, Caseyville, IL 62232-1128 | 2009-05-20 |
| Find all providers in zip 62232 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889331 | Melissa Hill | Pediatrics | 1230 Tanglewood Pkwy, Caseyville, IL 62232-1101 | 2018-04-30 |
| 1215922000 | Mark Edward Mcgranahan | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2005-09-16 |
| 1053577387 | A To Z Pediatrics, LLP | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2008-08-06 |
| 1699884825 | Lori Lee Eberhart | Pediatrics | 1230 George E. Chance Parkway, Caseyville, IL 62232 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494364 | Mebe Illinois | Pediatrics | 825 S Waukegan Rd Ste A8, Lake Forest, IL 60045-2665 | 2020-10-15 |
| 1326656125 | Kids Pediatrics Ltd | Pediatrics | 288 W Loop Rd, Wheaton, IL 60189-2034 | 2020-07-17 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
| 1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
| 1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1053932673 | Jain Pediatrics LLC | Pediatrics | 33 N Addison Rd Ste 106, Addison, IL 60101-3843 | 2020-05-05 |
| 1164050670 | Sruti Uppuluri | Pediatrics | 1675 Dempster St Ste 330, Park Ridge, IL 60068-1110 | 2020-03-30 |
| 1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
| Find all providers with the same taxonomy | ||||
| City | CASEYVILLE |
| Zip Code | 62232 |
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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.