DR. MICHAEL E WAGNER (NPI# 1083719942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083719942 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E WAGNER |
| Credential | D.C. |
| Practice Address |
8553 Hickman Rd Urbandale IA 50322-4321 |
| Practice Telephone | 5152705868 |
| Practice Fax Number | 5152705878 |
| Mailing Telephone | 5152705868 |
| Mailing Fax Number | 5152705878 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | AO5587 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0076968 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1285169037 | Michael Wagner | Student in an Organized Health Care Education/Training Program | 4316 E Avalon Dr, #11, Phoenix, AZ 85018-7245 | 2017-04-28 |
| 1235585191 | Michael Charles Wagner | Occupational Therapist | 170 2nd St S, Nampa, ID 83651-3708 | 2016-05-10 |
| 1033555362 | Michael S Wagner | Marriage & Family Therapist | 3263 Sacramento St, Suite B, San Francisco, CA 94115-2054 | 2013-05-14 |
| 1013154293 | Michael James Wagner | Counselor | 10207 E Shady Rock Ln, Tucson, AZ 85749-8162 | 2009-01-09 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| 1609903178 | Michael John Wagner | Dentist | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2007-02-28 |
| 1073655825 | Michael C Wagner II | Nurse Practitioner | 603 N Logan Ave, Danville, IL 61832-4320 | 2007-02-12 |
| 1760577340 | Michael Dale Wagner | Psychologist | 5415 Medallion Dr W, Westerville, OH 43082-9194 | 2006-10-03 |
| Street Address |
8553 HICKMAN RD |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376664995 | Wagner Family Chiropractic Clinic Inc. | Chiropractor | 8553 Hickman Rd, Urbandale, IA 50322-4321 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935985 | Hollie Lynn Radig | Chiropractor | 9400 Plum Dr Ste 140, Urbandale, IA 50322-6242 | 2019-10-31 |
| 1053812511 | Thrive Family Chiropractic Pllc | Chiropractor | 3731 86th St, Urbandale, IA 50322-4008 | 2018-02-21 |
| 1720591753 | Alternative Wellness Center Inc | Chiropractor | 8525 Douglas Ave Ste 36, Urbandale, IA 50322-2925 | 2017-11-13 |
| 1518327717 | Advanced Spine Health Center | Chiropractor | 8431 Hickman Rd, Urbandale, IA 50322-4319 | 2016-03-01 |
| 1750762241 | Discover Chiropractic LLC | Chiropractor | 4656 86th St, Urbandale, IA 50322-1026 | 2015-06-10 |
| 1568889996 | Midwest Natural Health, Inc. | Chiropractor | 8515 Douglas Ave Ste 25, Urbandale, IA 50322-2924 | 2014-03-24 |
| 1205279254 | Lifestream Chiropractic Clinic | Chiropractor | 7195 Nw 54th Ave, Urbandale, IA 50322-6915 | 2013-04-09 |
| 1891032884 | Gregory D Pray | Chiropractor | 2765 86th St, Urbandale, IA 50322-4336 | 2013-01-10 |
| 1437420981 | Brooks Cristopher Newton | Chiropractor | 4456 128th St, Urbandale, IA 50323-1728 | 2012-01-14 |
| 1699051029 | Vander Sluis Chiropractic, LLC | Chiropractor | 8521 Hickman Rd, Urbandale, IA 50322-4321 | 2011-10-31 |
| Find all providers in URBANDALE | ||||
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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.