ROBERT CLARK WAGNER (NPI# 1972568293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972568293 |
| Entity Type | Individual |
| Full Name | ROBERT CLARK WAGNER |
| Credential | M.D. |
| Practice Address |
1635 N George Mason Dr Suite 140 Arlington VA 22205-3601 |
| Practice Telephone | 7032437677 |
| Practice Fax Number | 7032435416 |
| Mailing Telephone | 7032437677 |
| Mailing Fax Number | 7032435416 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101030296 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7393202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194266734 | Robert Wagner | Contractor | 15 Misery Mountain Ln, Croydon, NH 03773-6617 | 2017-03-15 |
| 1639498553 | Robert Fredrick Wagner Jr. | Dentist | 9616 Beauclerc Bluff Rd, Jacksonville, FL 32257-5703 | 2010-05-18 |
| 1821225160 | Robert Morris Wagner | Obstetrics & Gynecology | 1004 Erie Dr, Buffalo, WY 82834-2587 | 2009-06-13 |
| 1982875852 | Robert Michael Wagner | Psychologist | 160 East Kellogg Blvd., Suite 8500, St. Paul, MN 55101 | 2008-03-18 |
| 1467673111 | Robert Wagner | Counselor | 3837 N.w. 23rd Street, Oklahoma City, OK 73112 | 2007-05-01 |
| 1558499079 | Robert Wagner | Preventive Medicine | 2850 7th St Ste 100, Berkeley, CA 94710-2703 | 2007-02-28 |
| 1679600944 | Robert Linton Wagner | Dentist | 1402 Argillite Road, Flatwoods, KY 41139 | 2007-02-27 |
| 1932253036 | Robert Eugene Wagner | Chiropractor | 10324 Canyon Rd East, #105, Puyallup, WA 98373 | 2007-01-23 |
| 1164599700 | Robert Frederick Wagner | Dentist | 2803 Ne Everett St, Portland, OR 97232-3246 | 2006-11-29 |
| 1306925243 | Robert P Wagner | Dentist | 1216 16th St W, Suite 34, Billings, MT 59102-4100 | 2006-11-02 |
| Street Address |
1635 N GEORGE MASON DR SUITE 140 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214222 | Infectious Diseases & Medical Associates | Internal Medicine | 1635 N George Mason Dr, Suite 180, Arlington, VA 22205-3601 | 2005-09-06 |
| 1972018380 | Stephanie A Monahan | Registered Nurse | 1635 N George Mason Dr, 1n - Ssu, Arlington, VA 22205 | 2017-12-07 |
| 1487189247 | Arlington Medical Group P C | Clinic/Center | 1635 N George Mason Dr, Suite 480, Arlington, VA 22205-3601 | 2017-04-28 |
| 1093253213 | Emily Harmon | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2017-02-08 |
| 1740728062 | Caroline Ba, P.C. | Psychologist | 1635 N George Mason Dr, Suite 185, Arlington, VA 22205-3601 | 2017-02-07 |
| 1972046621 | Arlington Alexandria Endodontics, Pllc | Dentist | 1635 N George Mason Dr, Suite 140, Arlington, VA 22205-3601 | 2016-11-29 |
| 1689127797 | Thomas N Jacob Md PC | Psychiatry & Neurology | 1635 N George Mason Dr, Ste 240, Arlington, VA 22205-3601 | 2016-07-26 |
| 1043668957 | Matthew Rossman | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2016-06-01 |
| 1487030136 | Brian Koziol | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2015-08-05 |
| 1508273426 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1635 N George Mason Dr, Ste 115, Arlington, VA 22205-3601 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| 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 |
|---|---|---|---|---|
| 1538681788 | Andrea Paulette Redic | Specialist | 2141 N Collins St Ste 503, Arlington, TX 76011-2812 | 2017-07-10 |
| 1649705112 | Gregory Morgan Rose | Specialist | 2025 Randy Snow Rd Apt 227, Arlington, TX 76011-8921 | 2017-04-21 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1497201164 | Mayrena Isamar Hernandez | Specialist | 7201 Lake Jackson Dr, Arlington, TX 76002-4070 | 2016-08-31 |
| 1396192126 | Paul Aaron Petty | Specialist | 1715 N George Mason Dr Ste 503, Arlington, VA 22205-3669 | 2016-05-23 |
| 1174990535 | Angenique Miles-lewis | Specialist | 3901 W Arkansas Ln Ste 116, Arlington, TX 76016-1400 | 2015-09-01 |
| 1831575778 | Rais Ul Ghani | Specialist | 922 Winterwood Ct, Arlington, TX 76017-6139 | 2015-08-03 |
| 1760888598 | Sarah Walsh | Specialist | 1301 S Cleveland St Apt 357, Arlington, VA 22204-4872 | 2014-11-05 |
| 1962806869 | A New Weigh Center Corp | Specialist | 306 E Randol Mill Rd Ste 136, Arlington, TX 76011-5841 | 2014-10-21 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| Find all providers in ARLINGTON | ||||
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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.