WAGNER MEDICAL CLINIC L.L.P. (NPI# 1982685756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982685756 |
| Entity Type | Organization |
| Organization Name | WAGNER MEDICAL CLINIC L.L.P. |
| Practice Address |
124 E Wolters 2nd Shiner TX 77984-7109 |
| Mailing Address |
Po Box 965 Shiner TX 77984-0965 |
| Practice Telephone | 3615943824 |
| Mailing Telephone | 3615943824 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | RALPH WAGNER (MD) |
| Authorized Official Telephone | 3615943824 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 0T01U | 01 |
| TX | 063629201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322127 | Wagner Medical Clinic L.l.p. | Physician Assistant | 100 S Pecan, Moulton, TX 77975-0238 | 2005-11-09 |
| Street Address |
124 E WOLTERS 2ND |
| City | SHINER |
| State | TX |
| Zip Code | 77984-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372619 | Timothy J Wagner | Family Medicine | 124 E Wolters 2nd, Shiner, TX 77984-7109 | 2005-11-09 |
| 1124087887 | Drs Wagner & Wagner Pa | Family Medicine | 124 E Wolters 2nd, Shiner, TX 77984-7109 | 2006-03-21 |
| 1821079260 | Marshall C Bishop | Family Medicine | 124 E Wolters 2nd, Shiner, TX 77984-7109 | 2005-11-11 |
| 1447231881 | Ralph A Wagner | Family Medicine | 124 E Wolters 2nd, Shiner, TX 77984-7109 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028019 | Shiner Medical LLP | Family Medicine | 124 E Wolters, Shiner, TX 77984 | 2018-09-28 |
| 1326549692 | Joanna L Davis | Pharmacist | 724 North Ave E, Shiner, TX 77984 | 2018-02-22 |
| 1427568807 | Kirsten Machicek Bussell | Physician Assistant | 124 E Wolters 2nd St, Shiner, TX 77984 | 2017-10-11 |
| 1376952481 | Laura Adamek | Nurse Practitioner | 207 West 7th Street, Shiner, TX 77984 | 2014-08-04 |
| 1508023839 | Melanie Sue Cowan | Dentist | 821 N Ave D, Shiner, TX 77984 | 2008-05-22 |
| 1225164700 | Shiner Ind School Dist | Counselor | 216 West 13th St, Shiner, TX 77984 | 2007-02-26 |
| 1528129525 | Joy Sharon Bowen | Family Medicine | 714 N Ave E, Shiner, TX 77984 | 2006-12-13 |
| 1548364557 | Carolyn E Hilscher | Pharmacist | 408 N Ave B, Shiner Family Pharmacy Inc, Shiner, TX 77984 | 2006-09-11 |
| 1659474575 | William David Patek | Pharmacist | 724 North Avenue E, Shiner, TX 77984 | 2006-09-06 |
| 1497724884 | Shiner Family Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 408 N. Ave B, Shiner, TX 77984 | 2006-03-16 |
| Find all providers in zip 77984 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821551581 | Gonzales Healthcare Systems | Clinic/Center | 207 West 7th Street, Shiner, TX 77984 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
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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.