DR. LEE S WAGMEISTER (NPI# 1063470649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063470649 |
| Entity Type | Individual |
| Full Name | DR. LEE S WAGMEISTER |
| Credential | M.D. |
| Practice Address |
4015 Gateway Blvd Suite 2120 Newburgh IN 47630-8925 |
| Mailing Address |
4015 Gateway Blvd Ste 2120 Newburgh IN 47630-8925 |
| Practice Telephone | 8128420907 |
| Practice Fax Number | 8124640536 |
| Mailing Telephone | 8124925457 |
| Mailing Fax Number | 8124644485 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 36924 | KY | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01052501A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELBORN HEALTH PLANS | 0000475621-01 | 01 | |
| SIHO | 832011P | 01 | |
| ANTHEM | 000000174053 | 01 | |
| HEALTHLINK | 438544 | 01 | |
| KY | 64024532 | 05 | |
| IN | 200267590 | 05 | |
| IN RR MCR | 330005278 | 01 |
| Street Address |
4015 GATEWAY BLVD SUITE 2120 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142728 | Mohammed A Allaw | Internal Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2005-05-31 |
| 1689289233 | Deaconess Hospital, Inc. | Psychologist | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2020-09-10 |
| 1841809696 | Jenna M Rickenbaugh | Nurse Practitioner | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2020-07-28 |
| 1669006284 | Brooke E Louthan | Audiologist | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2020-02-24 |
| 1750940656 | Abbey L Schmitt | Audiologist | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2019-06-13 |
| 1427542083 | Phillip J Anderson | Nurse Practitioner | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2018-06-18 |
| 1043709215 | Erica B Schmitt | Nurse Practitioner | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2018-05-03 |
| 1548763576 | Sara Gayl Hamilton | Family Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2018-03-15 |
| 1487184156 | Jessica M Cox | Family Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2017-06-15 |
| 1871023556 | Dhruvin N Mehta | Family Medicine | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2017-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649602236 | John F Ansbro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6199 River Bluff Dr, Newburgh, IN 47630-8850 | 2013-08-06 |
| 1407085228 | Alan Thomas Marty | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 214 W Water St, Newburgh, IN 47630-1159 | 2009-07-14 |
| 1851349013 | Richard A Murrell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4015 Gateway Blvd, Ste 2120, Newburgh, IN 47630-8925 | 2006-05-04 |
| 1588638639 | Dominic C Cefali | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4015 Gateway Blvd, Ste 2120, Newburgh, IN 47630 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063900249 | Patrick Finnan Vining | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 545 Barnhill Dr Emerson Hall 215, Indianapolis, IN 46202 | 2018-04-24 |
| 1588084685 | Ashish Pulikal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7120 Clearvista Dr Ste 5300, Indianapolis, IN 46256-5300 | 2014-04-16 |
| 1972895266 | Union Hospital, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 351 Maiden Lane, Union Hospital, Inc., Terre Haute, IN 47804-4073 | 2011-05-05 |
| 1013219435 | Walter William Jolly | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10101 Ditch Rd, Carmel, IN 46032-8897 | 2010-11-18 |
| 1336381680 | Giorgio Zanotti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10590 N Meridian St # 105, Indianapolis, IN 46290-1028 | 2009-04-01 |
| 1639337769 | Kyle W Yancey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Reid Pkwy Ste 240, Richmond, IN 47374-1157 | 2008-05-27 |
| 1316104839 | Jay B Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 610 N Michigan St Ste 306, South Bend, IN 46601-1079 | 2008-05-21 |
| 1114122488 | Hannah Copeland | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 | 2007-06-18 |
| 1356544308 | Melmar LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 N Glendale Dr, Suite C, Fort Wayne, IN 46804-8908 | 2007-06-07 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
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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.