JEFFREY WAGNER (NPI# 1003312117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
3525 E LOUISE DR |
City | MERIDIAN |
State | ID |
Zip Code | 83642-6302 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 83642 |
Taxonomy Code | 224Y00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Clinical Exercise Physiologist |
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 |
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 |
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 |
Please comment or provide details below to improve the information on JEFFREY WAGNER.
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.