GARTH WAGENMAN (NPI# 1952599284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952599284 |
| Entity Type | Individual |
| Full Name | GARTH WAGENMAN |
| Credential | PT |
| Practice Address |
125 E Elm Ave Ste 103 Flagstaff AZ 86001-3258 |
| Practice Telephone | 9287791679 |
| Practice Fax Number | 9287792822 |
| Mailing Telephone | 9287791679 |
| Mailing Fax Number | 9287792822 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7849 | AZ | Other Service Providers |
| Street Address |
125 E ELM AVE STE 103 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518052232 | Sara Clancey I | Specialist | 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 | 2006-10-04 |
| 1942507959 | Julianne Therese Dahl | Occupational Therapist | 125 E Elm Ave, Ste. 103, Flagstaff, AZ 86001-3258 | 2011-02-28 |
| 1417250275 | Lindsey Alane Hiebert | Speech-Language Pathologist | 125 E Elm Ave, Suite 103, Flagstaff, AZ 86001-3258 | 2010-12-15 |
| 1083914899 | Aimee Melina Walton | Speech-Language Pathologist | 125 E Elm Ave, #103, Flagstaff, AZ 86001-3258 | 2010-10-26 |
| 1255564027 | Lita Byerly | Specialist | 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 | 2009-08-27 |
| 1033356720 | Andrea Shank | Speech-Language Pathologist | 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 | 2009-01-16 |
| 1235376070 | Sandra Lee Stewart | Speech-Language Pathologist | 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 | 2009-01-15 |
| 1457538225 | Susan Elizabeth Drexler | Specialist | 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 | 2008-01-23 |
| 1568644623 | Meggan Brownfield | Speech-Language Pathologist | 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001-3258 | 2007-11-30 |
| 1962684365 | Teanna Hall | Specialist | 125 E Elm Ave, Ste. 103, Flagstaff, AZ 86001-3258 | 2007-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639437619 | Jayece R. Laudner | Specialist | 1485 N. Turquoise Dr., Suite 220, Flagstaff, AZ 86001 | 2012-04-27 |
| 1306145859 | Alexander Hu | Specialist | 399 S Malpais Ln, Flagstaff, AZ 86001-6218 | 2011-03-23 |
| 1932427077 | Amy Horn | Specialist | 408 N Kendrick St Ste 1, Flagstaff, AZ 86001-1582 | 2010-05-13 |
| 1053550061 | Douglas Crabbe | Specialist | 240 Buffalo Trl, Flagstaff, AZ 86001-9512 | 2009-02-13 |
| 1669617270 | Perring Medical Services, PC | Specialist | 813 N Beaver St, Flagstaff, AZ 86001-3105 | 2008-12-10 |
| 1386825339 | B. Cody Wright Md PC | Specialist | 121 E Birch Ave Ste 503, Flagstaff, AZ 86001-4621 | 2007-11-19 |
| 1770762841 | Cardiac & Peripheral Vascular Specials of Northern Arizona | Specialist | 1515 E Cedar Ave Ste D-2, Flagstaff, AZ 86004-1638 | 2007-10-25 |
| 1679794259 | David G Mueller | Specialist | 5100 W. Kiltie Lane, Flagstaff, AZ 86001 | 2007-05-01 |
| 1073631388 | Karen Deborah Furr | Specialist | 8353 Jupiter Ln, Flagstaff, AZ 86004-1394 | 2007-03-26 |
| 1285784082 | Seaside Sanctuary Clinic LLC | Specialist | 2401 W Route 66, #24, Flagstaff, AZ 86001-8761 | 2007-01-12 |
| Find all providers in FLAGSTAFF | ||||
Please comment or provide details below to improve the information on GARTH WAGENMAN.
| 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.