PETER JOHN WAGNER (NPI# 1962403774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962403774 |
| Entity Type | Individual |
| Full Name | PETER JOHN WAGNER |
| Credential | M.D. |
| Practice Address |
39700 Bob Hope Dr Suite 216 Rancho Mirage CA 92270-3267 |
| Practice Telephone | 7608378767 |
| Practice Fax Number | 7608378806 |
| Mailing Telephone | 7608378767 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C130554 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
36158 | CO | Allopathic & Osteopathic Physicians |
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
C130554 | CA | Allopathic & Osteopathic Physicians |
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
36158 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 11902761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235676008 | Peter Louis Wagner | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2017-01-31 |
| 1285995100 | Peter J Wagner | Orthopaedic Surgery | 2 Dudley St Ste 200, Providence, RI 02905 | 2012-06-07 |
| 1245440841 | Peter Wagner | Internal Medicine | 350 Heritage Way, Suite 1100, Kalispell, MT 59901-3158 | 2007-05-23 |
| 1609992932 | Peter C. Wagner | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2007-03-21 |
| 1548356280 | Peter Louis Wagner | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-04 |
| 1174531388 | Peter William Wagner | Surgery | 30 W Mccreight Ave, Suite 208, Springfield, OH 45504-1842 | 2006-08-03 |
| 1598734196 | Peter B Wagner | Internal Medicine | 600 Moye Blvd, Greenville, NC 27834-4300 | 2006-03-16 |
| 1659341865 | Peter C Wagner | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-01-23 |
| 1396729539 | Peter J Wagner | Internal Medicine | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2005-12-01 |
| Street Address |
39700 BOB HOPE DR SUITE 216 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721167 | Melvin A. Gonzalez | Specialist | 39700 Bob Hope Dr, Suite # 203, Rancho Mirage, CA 92270-3267 | 2005-06-24 |
| 1548646987 | Newman Anesthesia | Nurse Anesthetist, Certified Registered | 39700 Bob Hope Dr, Suite 204, Rancho Mirage, CA 92270-3267 | 2015-08-07 |
| 1043534696 | Jaimini Jodhani | Internal Medicine | 39700 Bob Hope Dr, Suite 108, Rancho Mirage, CA 92270-3267 | 2010-03-24 |
| 1770717514 | Hughes Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 39700 Bob Hope Dr, Rancho Mirage, CA 92270-3267 | 2009-05-07 |
| 1659540599 | Vallari S Patel | Internal Medicine | 39700 Bob Hope Dr, Suite 108, Rancho Mirage, CA 92270-3267 | 2008-02-25 |
| 1194900324 | Stellar Medical Management, Inc. | Internal Medicine | 39700 Bob Hope Dr, Suite 110, Rancho Mirage, CA 92270-7103 | 2008-01-07 |
| 1770783276 | Marcos Antonio Suarez | Psychiatry & Neurology | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2007-07-23 |
| 1184821688 | Richard Wayne Brown | Dentist | 39700 Bob Hope Dr, Suite 215, Rancho Mirage, CA 92270-3267 | 2007-06-28 |
| 1730208059 | Roland D Reinhart | Anesthesiology | 39700 Bob Hope Dr, Suite 202, Rancho Mirage, CA 92270-3267 | 2007-03-28 |
| 1548396146 | Richard Stevan Bloom | Social Worker | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205399334 | Desert Wellness Psychiatry, Inc | Psychiatry & Neurology | 35800 Bob Hope Dr Ste 210, Rancho Mirage, CA 92270-1739 | 2019-04-06 |
| 1700050283 | Robert T. Allen | Psychiatry & Neurology | 71150 Patricia Park Pl, Rancho Mirage, CA 92270-2337 | 2008-04-16 |
| 1528181666 | Thomas Burton Jackson | Psychiatry & Neurology | 41750 Rancho Las Palmas Dr Ste D2, Rancho Mirage, CA 92270-5512 | 2007-04-06 |
| 1982785796 | Morton L. Kurland, M.d., Inc. | Psychiatry & Neurology | 39000 Bob Hope Dr Ste P309, Rancho Mirage, CA 92270-7063 | 2006-10-18 |
| 1417970534 | Richard John Bowdle | Psychiatry & Neurology | 39700 Bob Hope Dr Ste 216, Rancho Mirage, CA 92270-7109 | 2006-07-26 |
| 1225360423 | Rancho Mirage Psychiatric | Psychiatry & Neurology | 42525 Rancho Mirage Lane, Rancho Mirage, CA 92270 | 2010-02-12 |
| 1538347737 | Jarrett M Schroeder Md | Psychiatry & Neurology | 35900 Bob Hope Dr, Suite 205, Rancho Mirage, CA 92270-1766 | 2008-02-11 |
| 1770783276 | Marcos Antonio Suarez | Psychiatry & Neurology | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2007-07-23 |
| 1962600205 | Rancho Mirage Psychiatric Medical Center Inc. | Psychiatry & Neurology | 42525 Rancho Mirage Ln, Rancho Mirage, CA 92270-4312 | 2007-07-09 |
| 1154418457 | Jeffrey Mark Levine | Psychiatry & Neurology | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2006-10-06 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.