DR. PHILIP JON WAGNER (NPI# 1043296171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043296171 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JON WAGNER |
| Credential | DC |
| Practice Address |
1 Pinckney Blvd Naval Hospital Beaufort Attn Professional Affairs Beaufort SC 29902-6122 |
| Practice Telephone | 8432285577 |
| Practice Fax Number | 8432285196 |
| Mailing Telephone | 8432285577 |
| Mailing Fax Number | 8432285196 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
1633 | SC | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740202324 | Philip C Wagner | Radiology | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2006-07-24 |
| 1740201276 | Philip L Wagner | Obstetrics & Gynecology | 2301 House Ave, Suite 400, Cheyenne, WY 82001-3176 | 2006-07-21 |
| 1831134964 | Philip J Wagner | Anesthesiology | 535 E 70th St, Hss Dept. of Anesthesiology, New York, NY 10021-4823 | 2006-06-20 |
| 1265427355 | Philip A Wagner | Nurse Anesthetist, Certified Registered | 8990 Springbrook Dr Nw, Suite 250, Coon Rapids, MN 55433-5850 | 2005-09-14 |
| Street Address |
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352643 | Terry Lynn Elliott | Family Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-08-10 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1023620150 | Duy Thien Vinh Truong | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-08-19 |
| 1366060071 | Christopher Taylor Davis | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-09 |
| 1942828884 | Abraham Kim | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-07 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1629610134 | Alicia Lynn Weaver | Dietitian, Registered | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-16 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1053968784 | John Claiborne Millar | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-19 |
| 1043866049 | Celeste Roberts | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699414 | Wayne Morris Memminger | Chiropractor | 101 Lands End Rd, Walterboro, SC 29488-3748 | 2017-10-06 |
| 1770605925 | Davis and Davis Health Center | Chiropractor | 1089 Columbia Road, Winnsboro, SC 29229 | 2007-04-06 |
| 1659467751 | Peter W Kfoury | Chiropractor | 310 Broad Street, Suite 2e, Charleston, SC 29401 | 2006-10-05 |
| 1255369880 | Oneyke Napu Davis | Chiropractor | 5 Lake Carolina Way Ste 110, Columbia, SC 29229-7562 | 2006-06-30 |
| 1346731015 | Memminger Chiropractic Center | Chiropractor | 101 Lands End Rd, Walterboro, SC 29488-3748 | 2018-05-29 |
| 1891059200 | Holistic Care of Charleston | Chiropractor | 354 Folly Rd, Suite 1, Charleston, SC 29412-2594 | 2012-06-29 |
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| 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.