DR. JOHN D WAGNER (NPI# 1033262340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033262340 |
Entity Type | Individual |
Full Name | DR. JOHN D WAGNER |
Credential | MD, MBA |
Practice Address |
451 Clarkson Ave Rm B-1147 Kings County Hospital Center Brooklyn NY 11203-2054 |
Practice Telephone | 7182453921 |
Practice Fax Number | 7182455347 |
Mailing Telephone | 7182453921 |
Mailing Fax Number | 7182455347 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2014-03-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
140277 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00837072 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861802498 | John M. Wagner | Counselor | 1048 Sumac St, Longmont, CO 80501-4146 | 2014-05-05 |
1326323221 | John Wagner | Physical Therapist | 3079 Nestall Rd, Laguna Beach, CA 92651-2026 | 2011-10-12 |
1821384728 | John C Wagner | Pharmacist | 1703 Elm St W, Hampton, SC 29924 | 2011-06-20 |
1033320577 | John Wagner | Psychiatry & Neurology | 7330 Fern Ave Ste 704, Shreveport, LA 71105-4985 | 2007-05-25 |
1013044197 | John Daniel Wagner | Massage Therapist | 2315 N Pearl St Ste 10, Pmb 188, Tacoma, WA 98406-2553 | 2007-02-27 |
1588719066 | John J Wagner | Psychologist | 7374 Reading Rd Ste 110, Cincinnati, OH 45237-3409 | 2007-01-24 |
1942316385 | John Otto Wagner | Legal Medicine | 1950 Stanley Rd Bldg 2376, San Antonio Military Entrance Processing Station, Fort Sam Houston, TX 78234-7547 | 2006-08-21 |
1881635159 | John Adam Wagner | Chiropractor | 411 Hyde Park, Doylestown, PA 18902-6619 | 2006-06-09 |
1386697019 | John Wagner | Specialist/Technologist | 35 Colgate St, Jersey City, NJ 07302-3307 | 2006-05-17 |
1346221041 | John S Wagner | Chiropractor | 3778 Union St, Lafayette, IN 47905-4453 | 2005-11-09 |
Street Address |
451 CLARKSON AVE RM B-1147 KINGS COUNTY HOSPITAL CENTER |
City | BROOKLYN |
State | NY |
Zip Code | 11203-2054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
Find all providers in zip 11203 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750841953 | Live Well Medical Care, PC | Internal Medicine | 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 | 2019-03-22 |
1477891836 | Sai Nephrology, Pllc | Internal Medicine | 2701 E 65th St, Fl 1, Brooklyn, NY 11234-6825 | 2013-01-19 |
1598035081 | Li Yang | Internal Medicine | 849 57th St Ste 7, Brooklyn, NY 11220-3798 | 2011-12-30 |
1184913063 | Svetlana Pyatigorskaya | Internal Medicine | 770 Flatbush Ave, Brooklyn, NY 11226-1902 | 2011-03-31 |
1558677054 | Lutfi Alasadi | Internal Medicine | One Brookdale Plaza, Room 169 Chc, Brooklyn, NY 11212 | 2010-08-23 |
1891010641 | Sine Akten | Internal Medicine | 9995 Shore Rd Apt 18e, Brooklyn, NY 11209-8260 | 2010-04-05 |
1538391685 | Shore Front LLC | Internal Medicine | 2511 Ocean Avenue, Brooklyn, NY 11229 | 2009-08-21 |
1639300981 | Sein Yin See | Internal Medicine | 7261 Shore Rd Apt 6x, Brooklyn, NY 11209-1846 | 2009-08-04 |
1164664652 | Evergreen Medical Pllc | Internal Medicine | 755-759 61st Street, Brooklyn, NY 11220-4211 | 2009-03-30 |
1528254067 | Alan L Nissenbaum Medical Services PC | Internal Medicine | 3915 Avenue V # 104, Brooklyn, NY 11234-5156 | 2007-09-19 |
Find all providers in BROOKLYN |
Please comment or provide details below to improve the information on DR. JOHN D 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.