ERIC WAGNER (NPI# 1083222905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083222905 |
| Entity Type | Individual |
| Full Name | ERIC WAGNER |
| Practice Address |
2462 W 3rd St Santa Rosa CA 95401-6425 |
| Practice Telephone | 7078433539 |
| Mailing Telephone | 7078433539 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 82262 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316474083 | Eric Jameson Wagner | Student in an Organized Health Care Education/Training Program | 1331 Moursund Ave., Bldg. G Rm 115-118, Houston, TX 77030-5389 | 2017-05-12 |
| 1619263241 | Eric R Wagner | Orthopaedic Surgery | 59 Executive Park S Ste 2000, Atlanta, GA 30329-2208 | 2011-06-22 |
| 1326009143 | Eric John Wagner | Dentist | 112 2nd Ave Nw, Hampton, IA 50441-1724 | 2006-03-31 |
| 1306312012 | Eric Wagner | Behavior Technician | 2818 N Ralph Ave, Tucson, AZ 85712-1635 | 2018-10-19 |
| 1306358445 | Eric David Wagner | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-10-30 |
| 1487043196 | Eric Wagner | Licensed Practical Nurse | 526 W Main St, Sparta, WI 54656-2146 | 2015-01-19 |
| 1043563323 | Eric Michael Wagner | Pharmacist | 110 Southside Blvd, Dillon, MT 59725-3536 | 2012-10-23 |
| 1528319365 | Eric Bruce Wagner | Pharmacist | 330 Lebby St, Pelzer, SC 29669-1758 | 2012-09-19 |
| 1770856106 | Eric Martin Wagner | Physician Assistant | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2012-02-15 |
| 1477875078 | Eric N Wagner | Hearing Instrument Specialist | 218 W Market St, Ste7, Charlottesville, VA 22902-5061 | 2010-02-23 |
| Street Address |
2462 W 3RD ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181580 | Andrea Reyes | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-16 |
| 1790394799 | Allison Wargo | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-26 |
| 1750999447 | Tatum Browne | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-19 |
| 1336757012 | Courtney Gross | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-17 |
| 1891303897 | Nicole Mcgovern | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-16 |
| 1285242271 | Soulstice Spa LLC | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655911 | Natalie Womack | Massage Therapist | 1100 Coddingtown Ctr Ste 2a, Santa Rosa, CA 95401-3516 | 2020-09-28 |
| 1467069260 | Marisa Lynn Beltran Del Rio | Massage Therapist | 1510 Kona Pl, Santa Rosa, CA 95403-8605 | 2020-09-25 |
| 1215541487 | Jennifer Rae Fairbairn | Massage Therapist | 2470 Chanate Rd, Santa Rosa, CA 95404-2110 | 2020-09-03 |
| 1679181580 | Andrea Reyes | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-16 |
| 1598302689 | Stephen Starkweather | Massage Therapist | 1545 Monroe St, Santa Rosa, CA 95404-3539 | 2019-12-08 |
| 1972158301 | Alissa Jeanette Greenwood | Massage Therapist | 1301 Farmers Ln Ste 302, Santa Rosa, CA 95405-6745 | 2019-08-02 |
| 1609434398 | Nina Galin | Massage Therapist | 1160 Franquette Ave, Santa Rosa, CA 95405-6951 | 2019-05-29 |
| 1265096192 | Nataleigh R Dewitt | Massage Therapist | 421 Kohler Ct, Santa Rosa, CA 95404-5113 | 2019-04-25 |
| 1962944157 | Coralie Jenner | Massage Therapist | 418 Aviation Blvd Ste D, Santa Rosa, CA 95403-1074 | 2016-11-06 |
| 1972959690 | Breanna Rachell Christenson | Massage Therapist | 2314 4th St, Santa Rosa, CA 95404-3257 | 2016-05-11 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on ERIC 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.