DR. KARL THOMAS WAGNER JR.


Address: 1824 Dorchester Ct, Suite A, Goshen, IN 46526-6819
Phone: 5745342548

DR. KARL THOMAS WAGNER JR. (NPI# 1093716573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093716573
Entity Type Individual
Full Name DR. KARL THOMAS WAGNER JR.
Credential MD
Practice Address 1824 Dorchester Ct
Suite A
Goshen
IN 46526-6819
Practice Telephone 5745342548
Practice Fax Number 5745343622
Mailing Telephone 5745342548
Mailing Fax Number 5745343622
Enumeration Date 2005-08-09
Last Update Date 2011-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 01062265A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200826680 05
IN ANTHEM 000000491386 01

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1720179500 Karl Gordon Wagner Jr. Physician Assistant 22255 Greenfield Rd, Suite 422, Southfield, MI 48075-3710 2006-09-27
1427099183 Karl G Wagner Anesthesiology 2500 Metrohealth Dr, Department of Anesthesiology, Cleveland, OH 44109-1900 2006-06-10

Office Location

Street Address 1824 DORCHESTER CT
SUITE A
City GOSHEN
State IN
Zip Code 46526-6819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295735868 Martin L Saltzman Orthopaedic Surgery 1824 Dorchester Ct, Goshen, IN 46526-6819 2005-07-26
1588190284 Goshen Health System Inc Internal Medicine 1824 Dorchester Ct, Goshen, IN 46526 2017-05-02
1285922328 Arjuna James Cuddeback Orthopaedic Surgery 1824 Dorchester Ct, Suite A, Goshen, IN 46526-6819 2011-07-11
1770659666 Goshen Orthopedic Associates, LLC Prosthetic/Orthotic Supplier 1824 Dorchester Ct, Goshen, IN 46526-6476 2006-11-24
1265543904 Carrie J Bloss Occupational Therapist 1824 Dorchester Ct, Goshen, IN 46526-6476 2006-08-31
1821035353 David Chester Koronkiewicz Orthopaedic Surgery 1824 Dorchester Ct, Goshen, IN 46526-6476 2006-06-01
1275570012 Goshen Orthopedic Associates, LLC Orthopaedic Surgery 1824 Dorchester Ct, Goshen, IN 46526-6476 2006-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134631344 Heidi Kauffmann Social Worker 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 2017-10-27
1952812034 Blue Diamond Villas Skilled Nursing Facility 1510 Sandpiper Lane, Goshen, IN 46526 2017-10-17
1578086534 Anthony Escotto Physical Therapist 223 North Chicago Avenue, Goshen, IN 46526 2017-07-21
1831544774 April Noelle Hart Registered Nurse 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 2016-04-28
1639530108 Amanda Miller Physical Therapy Assistant 114 Watertower Court, Goshen, IN 46526 2016-03-11
1720486095 Gloria White Pharmacist 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 2014-12-18
1184982472 Dianna Christine Hoover Occupational Therapist 1627 Autumn Blaze Lane, Goshen, IN 46526 2012-04-24
1629361357 Amy Rebecca Pointon Nurse Practitioner 1615 Winsted Dr Ste 1, Goshen, IN 46526 2011-05-27
1659670685 Michiana Eye Center LLC Optometrist 1747 Stafford Ct, Goshen, IN 46526 2011-03-16
1467759001 Natasha Candace Pontius Occupational Therapy Assistant 2400 College Aveune, Goshen, IN 46526 2011-02-17
Find all providers in zip 46526

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255670584 Baja Medical Offices Pllc Orthopaedic Surgery 30 Hatfield Ln Ste 201, Goshen, NY 10924-6768 2013-02-06
1497911325 Christopher John Owens Orthopaedic Surgery 1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 2008-07-30
1306807540 Marc Hunter Appel Orthopaedic Surgery 1997 State Route 17m, #7, Goshen, NY 10924 2006-03-29
1295735868 Martin L Saltzman Orthopaedic Surgery 1824 Dorchester Ct, Goshen, IN 46526-6819 2005-07-26
1780096156 Robert Lane Jr. Orthopaedic Surgery 1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 2014-05-20
1285922328 Arjuna James Cuddeback Orthopaedic Surgery 1824 Dorchester Ct, Suite A, Goshen, IN 46526-6819 2011-07-11
1396915617 Mid Hudson Orthopedic & Sports Medicine P.C. Orthopaedic Surgery 78 Cypress Rd, Goshen, NY 10924-6814 2008-03-03
1720206287 John S. Juliano, Md, Pllc Orthopaedic Surgery 30 Hatfield Ln, Suite 107, Goshen, NY 10924-6766 2007-04-23
1396787941 Catskill Orange Orthopaedics,pc Orthopaedic Surgery 30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766 2006-06-11
1568403038 Benjamin H Nelson Orthopaedic Surgery 213 Middlebury St, Goshen, IN 46528-2956 2006-06-08
Find all providers in GOSHEN

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City GOSHEN
Zip Code 46526

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Dataset Information

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.

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