Richard Wagner (NPI# 1770962805, PAC ID# 3072821214) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1770962805 |
| PAC ID by PECOS | 3072821214 |
| Professional Enrollment ID | I20151007002464 |
| Full Name | Richard Wagner |
| Organization Legal Name | COLORADO ATHLETIC CONDITIONING CLINIC PARKER LLC |
| Address |
10345 Park Glenn Way Suite 220 Parker CO 80138-3877 |
| Phone Number | 3038409202 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5890786560 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10345 Park Glenn Way, Suite 220, Parker, CO 80138-3877 | 3038409202 | COLORADO ATHLETIC CONDITIONING CLINIC PARKER LLC |
| Organization Legal Name | COLORADO ATHLETIC CONDITIONING CLINIC PARKER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Buklarewicz | Physical Therapy | Colorado Athletic Conditioning Clinic Parker LLC | 10345 Park Glenn Way, Suite 220, Parker, CO 80138-3877 |
| Street Address |
10345 PARK GLENN WAY SUITE 220 |
| City | PARKER |
| State | CO |
| Zip | 80138-3877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Buklarewicz | Physical Therapy | Colorado Athletic Conditioning Clinic Parker LLC | 10345 Park Glenn Way, Suite 220, Parker, CO 80138-3877 |
| Jesse Roles | Physical Therapy | Colorado Athletic Conditioning Clinic Parker Professional LLC | 10345 Park Glenn Way, Parker, CO 80138-3877 |
| Kevin Craig | Physical Therapy | Colorado Athletic Conditioning Clinic Parker Professional LLC | 10345 Park Glenn Way, Parker, CO 80138-3877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julian T Hsu | Family Medicine | Colorado Permanente Medical Group PC | 10168 Parkglenn Way, Kaiser Permanente Parker Medical, Parker, CO 80138-3868 |
| Kelly L Westhoff | Family Medicine | Colorado Permanente Medical Group PC | 10168 Parkglenn Way, Kaiser Permanente Parker Medical, Parker, CO 80138-3868 |
| Steven B Wolkenberg | Family Medicine | Colorado Permanente Medical Group PC | 10168 Parkglenn Way, Kaiser Permanente Parker Medical, Parker, CO 80138-3868 |
| Scott A Isbell | Family Medicine | Colorado Permanente Medical Group PC | 10168 Parkglenn Way, Kaiser Permanente Parker Medical, Parker, CO 80138-3868 |
| Brenda Hall | Family Medicine | Colorado Permanente Medical Group PC | 10168 Parkglenn Way, Kaiser Permanente Parker Medical, Parker, CO 80138-3868 |
| Kristina M Reitz | Internal Medicine | Colorado Permanente Medical Group PC | 10168 Parkglenn Way, Kaiser Permanente Parker Medical, Parker, CO 80138-3868 |
| Saughar Samali | Family Practice | Colorado Permanente Medical Group, P.C. | 10168 Parkglenn Way, Kaiser Permanente Parker Medical, Parker, CO 80138-3868 |
| Dennis H Chang | Orthopedic Surgery | Healthone Clinic Services - Orthopedic Specialists LLC | 10371 Parkglenn Way, Suite 220, Parker, CO 80138-3872 |
| Stephanie K Kraft | Internal Medicine | 10371 Parkglenn Way, Suite 290, Parker, CO 80138-3879 | |
| Kevin Johnston Blue | Podiatry | 19284 Cottonwood Dr, Suite 201b, Parker, CO 80138-3881 | |
| Find all physicians in zip 80138 | |||
| City | PARKER |
| Zip Code | 80138 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PARKER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Richard Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.