JEFFREY WAGNER


Address: 3525 E Louise Dr, Meridian, ID 83642-6302
Phone: 2087067050

JEFFREY WAGNER (NPI# 1003312117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003312117
Entity Type Individual
Full Name JEFFREY WAGNER
Practice Address 3525 E Louise Dr
Meridian
ID 83642-6302
Practice Telephone 2087067050
Mailing Telephone 2087067050
Enumeration Date 2018-04-05
Last Update Date 2018-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Y00000X Clinical Exercise Physiologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JEFFREY WAGNER

NPI Name Taxonomy Address Enumeration
1881151876 Jeffrey Frank Wagner Pharmacist 6310 Health Park Way Ste 130, Lakewood Ranch, FL 34202-5177 2019-02-26
1760521843 Jeffrey M Wagner Psychologist 500 Market Street 1-g, Portsmouth, NH 03801 2007-02-06
1437244050 Jeffrey Todd Wagner Physical Therapist 1 Gateway Drive, Wading River, NY 11792 2006-10-03
1891744967 Jeffrey Douglas Wagner Physician Assistant 18 Ronald Ln, Sayville, NY 11782-1622 2006-05-08
1881684207 Jeffrey M Wagner Allergy & Immunology 98 Willow Ln, Spartanburg, SC 29307-1357 2005-10-26
1881690790 Jeffrey David Wagner Surgery 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 2005-06-24
1255894481 Jeffrey Ryan Wagner Student in an Organized Health Care Education/Training Program 2425 Geary Blvd, San Francisco, CA 94115-3358 2019-04-14
1023552114 Jeffrey David Wagner Nurse Practitioner 3303 Sw Bond Ave, Portland, OR 97239 2016-12-08
1578798914 Jeffrey Mark Wagner Physical Therapist 1430 Esplanade, Suite 8, Chico, CA 95926-3366 2009-05-28
1568624187 Jeffrey G Wagner Family Medicine 9280 W Sunset Rd Ste 200, Las Vegas, NV 89148 2008-06-25

Office Location

Street Address 3525 E LOUISE DR
City MERIDIAN
State ID
Zip Code 83642-6302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679528368 Anna M Mccreath Nurse Practitioner 3525 E Louise Dr, Suite 400, Meridian, ID 83642 2006-05-23
1467919902 Erin Gwynn Registered Nurse 3525 E Louise Dr, Meridian, ID 83642-6302 2019-02-20
1386133742 Sara M Palma Registered Nurse 3525 E Louise Dr, Meridian, ID 83642-6302 2018-05-01
1427555184 Lindsay Reade Clinical Exercise Physiologist 3525 E Louise Dr, Meridian, ID 83642-6302 2018-04-10
1831696590 Natalie Meninga Registered Nurse 3525 E Louise Dr, Meridian, ID 83642-6302 2018-04-10
1558868174 Erin Norton Registered Nurse 3525 E Louise Dr, Meridian, ID 83642-6302 2018-04-10
1982101564 Rhonda M Frost Registered Nurse 3525 E Louise Dr, Meridian, ID 83642-6302 2018-04-10
1225530595 Joselyn N Read Dietitian, Registered 3525 E Louise Dr, Meridian, ID 83642-6302 2018-03-02
1699219576 Valerie Naegele Respiratory Therapist, Registered 3525 E Louise Dr, Suite 500, Meridian, ID 83642-6302 2016-12-12
1912367715 Keisha Harrison Social Worker 3525 E Louise Dr, Meridian, ID 83642-6302 2016-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
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Taxonomy Information

Taxonomy Code 224Y00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Clinical Exercise Physiologist

Taxonomy Definition

A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427555184 Lindsay Reade Clinical Exercise Physiologist 3525 E Louise Dr, Meridian, ID 83642-6302 2018-04-10
1326545393 Kelly Morgan Clinical Exercise Physiologist 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 2018-04-06
1679079719 Laura Ann Wagner Clinical Exercise Physiologist 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 2018-04-05
1346746575 Melissa Ann Ward Clinical Exercise Physiologist 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 2018-04-05
1477059699 Kathryn Webster Clinical Exercise Physiologist 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 2018-04-05
1023514254 Kate Heckendorn Clinical Exercise Physiologist 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 2018-04-05
1912403056 Tegan Griffin Clinical Exercise Physiologist 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 2018-04-05
1154827640 Derek Earl Kygar Clinical Exercise Physiologist 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 2018-04-03
1366711129 George P Lara Clinical Exercise Physiologist 3525 E Louise Dr, Suite 500, Meridian, ID 83642-6302 2011-12-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023500162 Ryan James Rasmussen Clinical Exercise Physiologist 9976 W Emerald St, Boise, ID 83704-9769 2018-06-05
1790224343 Camille Cassidy Wareing Clinical Exercise Physiologist 2410 E 25th St, Idaho Falls, ID 83404-7549 2017-02-15

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

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.

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