KEVIN WAGNER (NPI# 1093224933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093224933 |
| Entity Type | Individual |
| Full Name | KEVIN WAGNER |
| Practice Address |
19644 Hull Prairie Rd Bowling Green OH 43402 |
| Mailing Address |
19644 Hull Prairie Rd Bowling Green OH 43402-9009 |
| Practice Telephone | (419) 409-3009 |
| Mailing Telephone | 4194093009 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386038636 | Kevin Wagner | Hearing Instrument Specialist | 3534 Clark Rd, #132, Sarasota, FL 34231-8408 | 2015-03-25 |
| 1295735926 | Kevin Matthew Wagner | Physical Therapist | 11903 Saint Charles Rock Rd, Bridgeton, MO 63044-2623 | 2005-07-22 |
| 1821620451 | Kevin Wagner | Nurse Practitioner | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2020-02-11 |
| 1306006978 | Kevin Wagner | Physical Therapist | 3283 Motor Ave, Los Angeles, CA 90034-3709 | 2008-06-16 |
| 1215139894 | Kevin Dale Wagner | Social Worker | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2007-06-05 |
| Street Address |
19644 HULL PRAIRIE RD |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| 1417393539 | Dawn D Patridge | Massage Therapist | 536 Pearl St., Bowling Green, OH 43402 | 2013-05-15 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821075 | Luberta Ann Banks | Contractor | 774 Noble Ave, Akron, OH 44320-3773 | 2020-11-06 |
| 1194323600 | Surendran Manoharan | Contractor | 3016 Hemlock Edge Dr, Hilliard, OH 43026-6915 | 2020-10-16 |
| 1891308169 | Brian J Fraley | Contractor | 1326 37th St Nw, Canton, OH 44709-2640 | 2020-08-26 |
| 1942824586 | Brandon H. Rhines | Contractor | 60 Merle Blvd, Munroe Falls, OH 44262-1640 | 2020-05-29 |
| 1710500913 | Helen Scott Custom Builders | Contractor | 165 5th St Se Ste B, Barberton, OH 44203-9001 | 2020-05-21 |
| 1164044913 | Christopher W Cook | Contractor | 3636 Creed Ave, Hubbard, OH 44425-9769 | 2020-05-15 |
| 1083242739 | Kimberly Ellen Hunt | Contractor | 1125 Salem Cave Rd, Beaver, OH 45613-9770 | 2020-03-30 |
| 1376179556 | Ohio Home Renovations | Contractor | 9220 Shawnee Trl, Powell, OH 43065-5012 | 2020-03-19 |
| 1700410222 | Home Improvemint LLC | Contractor | 2630 Hilliard Place Dr, Hilliard, OH 43026-8458 | 2020-02-24 |
| 1578118519 | Tameacko Angellic Preston | Contractor | 1075 Ellsworth Dr, Akron, OH 44313-5211 | 2019-08-06 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on KEVIN 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.