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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 01062265A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200826680 | 05 | |
IN | ANTHEM | 000000491386 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538193131 | Karl Steven Wagner | Obstetrics & Gynecology | 332 W Tienken Rd, Suite B, Rochester Hills, MI 48306-4473 | 2006-07-10 |
1154584217 | Karl Frederic Wagner | Psychologist | 875 Massachusetts Ave, Suite 84, Cambridge, MA 02139-3067 | 2008-07-08 |
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 |
Street Address |
1824 DORCHESTER CT SUITE A |
City | GOSHEN |
State | IN |
Zip Code | 46526-6819 |
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 |
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 Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
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. |
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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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.