Kathleen T Wagner (NPI# 1952342933, PAC ID# 9638064678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952342933 |
| PAC ID by PECOS | 9638064678 |
| Professional Enrollment ID | I20040219000509 |
| Full Name | Kathleen T Wagner |
| Organization Legal Name | HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD |
| Address |
4920 W Lone Mountain Rd Las Vegas NV 89130-2241 |
| Phone Number | 7028550550 |
| Gender | F |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991866303 |
| Number of Group Practice Members | 287 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4920 W Lone Mountain Rd, Las Vegas, NV 89130-2241 | 7028550550 | HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD |
| Organization Legal Name | HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD |
| Physicians | 273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bob Allen Ly | Endocrinology | Healthcare Partners Medical Group Coats Ltd | 2285 E Flamingo Rd, Suite 105, Las Vegas, NV 89119-5100 |
| Sandy Holder | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 745 S Green Valley Pkwy, Suite 160, Henderson, NV 89052-0439 |
| Mary-liberty Y Gibbs | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 6210 N Durango Dr Bldg, Suite 11, Las Vegas, NV 89149-3916 |
| Aura Cynthia Truelove | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 3960 W Craig Rd, 102 Healthcare Partners W Craig, N. Las Vegas, NV 89030-2750 |
| Rose Marie Mcintosh | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 |
| Kim Tatum | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 4500 W Oakey Blvd, Las Vegas, NV 89102-1527 |
| Gilbert Blancarte | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 210 N Sandhill Blvd, Mesquite, NV 89027-4789 |
| Shamail Butt | Hematology/oncology | Healthcare Partners Medical Group Coats Ltd | 2650 N Tenaya Way, Suite 201, Las Vegas, NV 89128-1102 |
| Leslie E Keck | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 2831 Business Park Ct, Suite 130, Las Vegas, NV 89128-9000 |
| Andrei Androssov | Family Medicine | Healthcare Partners Medical Group Coats Ltd | 5230 Boulder Hwy 110, Las Vegas, NV 89122-6077 |
| Street Address |
4920 W LONE MOUNTAIN RD |
| City | LAS VEGAS |
| State | NV |
| Zip | 89130-2241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Espinosa | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 4920 W Lone Mountain Rd, Las Vegas, NV 89130-2241 |
| Robert B Vance Ii | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 4920 W Lone Mountain Rd, Las Vegas, NV 89130-2241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Rinato | Clinical Social Worker | 7117 Rio Grande Gorge Ct, Las Vegas, NV 89130-1019 | |
| Ramanathan Muthaiah | Internal Medicine | 5061 N Rainbow Blvd, Suite 180, Las Vegas, NV 89130-1689 | |
| Imelda Chi Sam | Nurse Practitioner | R Muthaiah Md PC | 5061 N Rainbow Blvd, Suite 180, Las Vegas, NV 89130-1689 |
| Jeffrey Lynn Hart | Ophthalmology | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| Selim Taylan Koseoglu | Ophthalmology | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| Jeylan A El-mansoury | Ophthalmology | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| Walter Reed Jaussi | Ophthalmology | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| George Niforos Bouras | Optometry | Center for Sight Eval I Liang Md PC | 5871 W Craig Rd, Las Vegas, NV 89130-2575 |
| Claire M Manchester | Physician Assistant | Urgent Care Nevada, LLC | 4900 W Craig Rd, B3 Urgent Care Extra, Las Vegas, NV 89130-2737 |
| Robin D Wellington | Nurse Practitioner | Urgent Care Nevada, LLC | 4900 W Craig Rd, B3 Urgent Care Extra, Las Vegas, NV 89130-2737 |
| Find all physicians in zip 89130 | |||
| City | LAS VEGAS |
| Zip Code | 89130 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAS VEGAS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kathleen T 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.