MR. RONALD PAUL WAGNER (NPI# 1093892333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093892333 |
| Entity Type | Individual |
| Full Name | MR. RONALD PAUL WAGNER |
| Credential | PA-C |
| Practice Address |
400 Hinckley Blvd Ste A Jackson MI 49203-6125 |
| Mailing Address |
6180 Amanda Dr Eaton Rapids MI 48827-9689 |
| Practice Telephone | 5177827432 |
| Practice Fax Number | 5177827483 |
| Mailing Telephone | 5177827415 |
| Mailing Fax Number | 5177827483 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001400 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649419086 | Ronald W Wagner Jr. | Registered Nurse | 2635 G St, Bakersfield, CA 93301-2813 | 2009-02-09 |
| 1689661415 | Ronald S Wagner | Radiology | 110 Marcus Drive, Melville, NY 11747 | 2005-10-06 |
| 1306401567 | Ronald W Wagner | Physical Therapist | 415 S 10th St, Atchison, KS 66002-2771 | 2019-05-03 |
| 1700933298 | Ronald T. Wagner | Optometrist | 115 Columbia Ave, Glasgow, KY 42141-2903 | 2007-01-05 |
| 1992862098 | Ronald A Wagner | Psychologist | 110 W Squantum St, Suite 17, Quincy, MA 02171-2122 | 2007-01-02 |
| 1366528721 | Ronald W Wagner | Specialist/Technologist | 250 University Ave, California, PA 15419-1341 | 2006-10-28 |
| 1851309793 | Ronald Kent Wagner Jr. | Dentist | 2045 Village Center Circle, Las Vegas, NV 89134 | 2006-08-04 |
| 1699783530 | Ronald Kent Wagner | Dentist | 2045 Village Center Circle, Las Vegas, NV 89134 | 2006-08-04 |
| 1538116538 | Ronald G Wagner | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2006-05-27 |
| Street Address |
400 HINCKLEY BLVD STE A |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-6125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521852 | Vicki Helena Tyrrell | Nurse Practitioner | 400 Hinckley Blvd, Suite 300, Jackson, MI 49203-6125 | 2006-05-03 |
| 1023513603 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 400 Hinckley Blvd, Jackson, MI 49203-6152 | 2018-03-27 |
| 1184852980 | Brittany Johanna Williamson | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6152 | 2009-06-30 |
| 1720249667 | Kristina Lynn Sturgill | Family Medicine | 400 Hinckley Blvd, Jackson, MI 49203-6152 | 2008-06-23 |
| 1134279771 | Townsend Medical Center, Plc | Nurse Practitioner | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2007-01-12 |
| 1053400812 | Erin Nicole Murfey | Family Medicine | 400 Hinckley Blvd, Ste 100, Jackson, MI 49203-6125 | 2006-10-12 |
| 1639197007 | Bruce Bigelow | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2006-07-17 |
| 1538187927 | Patricia S Hoffman | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2006-07-17 |
| 1811915218 | Michael A Foust | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2006-07-17 |
| 1376561696 | Jon M Lake | Family Medicine | 400 Hinckley Blvd, Suite 100, Jackson, MI 49203-6125 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834494 | Emily Amburn | Physician Assistant | 2968 N Highland Ave, Jackson, TN 38305-3409 | 2020-02-24 |
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1972161891 | Allison Taylor | Physician Assistant | 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2019-06-05 |
| 1306302328 | Chloe A Goldfarb | Physician Assistant | 21 Shoal Rd, Jackson, NJ 08527-4025 | 2019-02-14 |
| 1447722558 | Casey James Elliott | Physician Assistant | 747 Oakwood St, Jackson, MS 39202-1121 | 2018-12-31 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1982194551 | Samantha Lynn Denoville | Physician Assistant | 1 Kensington Ct, Jackson, NJ 08527-1292 | 2018-05-18 |
| 1104320308 | Dalton Glenn Weaver | Physician Assistant | 708 N Highland Ave, Jackson, TN 38301-4829 | 2018-03-21 |
| 1336669258 | Whitney J Peterson | Physician Assistant | 501 Marshall St Ste 301, Jackson, MS 39202-1687 | 2017-06-21 |
| 1922541093 | Jacob Carpenter | Physician Assistant | 2497 N West St, Jackson, MS 39216-4409 | 2016-11-22 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on MR. RONALD PAUL 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.