PHILLIP LEROY WAGNER (NPI# 1912931619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912931619 |
Entity Type | Individual |
Full Name | PHILLIP LEROY WAGNER |
Credential | MD |
Practice Address |
2211 Lomas Ne Albuquerque NM 87131 |
Mailing Address |
1650 University Ne Suite 220 Albuquerque NM 87102 |
Practice Telephone | 5052728950 |
Practice Fax Number | 5052723202 |
Mailing Telephone | 5052728950 |
Mailing Fax Number | 5052723202 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
20060083 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 087585 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548722481 | Phillip Wagner | Student in an Organized Health Care Education/Training Program | 3600 Forbes Ave Ste 140, Pittsburgh, PA 15213-3410 | 2019-04-01 |
1891721833 | Phillip L Wagner | Emergency Medicine | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2006-06-23 |
Street Address |
2211 LOMAS NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548258346 | Mohammed Ali Vasef | Pathology | 2211 Lomas Ne, Albuquerque, NM 87131 | 2005-10-06 |
1538459854 | Elaine L. Bearer | Pathology | 2211 Lomas Ne, Albuquerque, NM 87106-2745 | 2011-04-08 |
1831218627 | Unm Medical Group Inc | Surgery | 2211 Lomas Ne, Albuquerque, NM 87106 | 2007-03-29 |
1417057431 | James Ingram Gibb | Internal Medicine | 2211 Lomas Ne, Albuquerque, NM 87131 | 2006-09-22 |
1689778789 | Unmhsc Department of Pediatrics | Internal Medicine | 2211 Lomas Ne, Albuquerque, NM 87131-0001 | 2006-09-11 |
1205930575 | Isaac Tawil | Surgery | 2211 Lomas Ne, Albuquerque, NM 87131 | 2006-09-08 |
1225142979 | Marcia Lynn Moriarta | Psychologist | 2211 Lomas Ne, Albuquerque, NM 87131 | 2006-08-19 |
1073548384 | Joanne M Bartram | Nurse Practitioner | 2211 Lomas Ne, Albuquerque, NM 87131 | 2006-07-12 |
1215961156 | Mary Beth Greulich | Advanced Practice Midwife | 2211 Lomas Ne, Albuquerque, NM 87131 | 2006-07-10 |
1265468086 | University Physician Associates | Clinic/Center | 2211 Lomas Ne, Albuquerque, NM 87131-0001 | 2006-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
Find all providers in zip 87131 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114239522 | Miguel A. Perez Abreu | Preventive Medicine | 600 Wyoming Blvd Ne, Albuquerque, NM 87123 | 2010-07-14 |
1235467358 | Kendall Bryce Green | Preventive Medicine | 2400 Tucker, Family Practice Center Rm 232, Albuquerque, NM 87131-0001 | 2009-12-01 |
1558404202 | Larry Russel Clevenger | Preventive Medicine | 1515 Eubank Blvd Ne, Albuquerque, NM 87112-4112 | 2007-02-14 |
1619027505 | Rick Brownlow Sauerman | Preventive Medicine | 1515 Eubank Blvd Se, Albuquerque, NM 87123-3453 | 2007-01-11 |
1194874214 | Kimberly K Yeager | Preventive Medicine | 2400 Tucker Ne Msc09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-01-09 |
1245639756 | Vaccines for Health | Preventive Medicine | 1717 Louisiana Blvd Ne, Suite 212, Albuquerque, NM 87110-7001 | 2014-08-20 |
1447678131 | Steven Fishburn | Preventive Medicine | Msc 10 6000, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-03-31 |
1619157385 | Gwendolyn G Reyna | Preventive Medicine | 801 Encino Pl Ne, Suite E-12, Albuquerque, NM 87102-2612 | 2007-11-09 |
1174743710 | Juliana Garcia | Preventive Medicine | 3811 Commons Ave Ne, Albuquerque, NM 87109-5832 | 2007-04-26 |
1801915814 | Janice L Sperling | Preventive Medicine | 801 Encino Pl Ne, Suite E-12, Albuquerque, NM 87102-2612 | 2007-03-29 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87131 |
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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.