PHILLIP LEROY WAGNER


Address: 2211 Lomas Ne, Albuquerque, NM 87131
Phone: 5052728950

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
20060083 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 087585 05

Other Providers PHILLIP WAGNER

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

Office Location

Street Address 2211 LOMAS NE
City ALBUQUERQUE
State NM
Zip Code 87131

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ALBUQUERQUE
Zip Code 87131

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Dataset Information

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.

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