TERRY WAGNER (NPI# 1134247802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134247802 |
| Entity Type | Individual |
| Full Name | TERRY WAGNER |
| Credential | M.D. |
| Practice Address |
9515 E 51st St Suite G & F Tulsa OK 74145-9053 |
| Mailing Address |
720 Cool Springs Blvd Suite 300 Franklin TN 37067-2626 |
| Practice Telephone | 6157784066 |
| Practice Fax Number | 6157789114 |
| Mailing Telephone | 6157784066 |
| Mailing Fax Number | 6157789114 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
1077 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574834 | Terry John Wagner | Family Medicine | 5655 Hudson Dr Ste 303, Hudson, OH 44236-4454 | 2005-08-09 |
| 1386852937 | Terry J Wagner | Massage Therapist | 2615 W Casino Rd, Suite 1a, Everett, WA 98204-2124 | 2007-05-18 |
| Street Address |
9515 E 51ST ST SUITE G & F |
| City | TULSA |
| State | OK |
| Zip Code | 74145-9053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548388366 | Joseph D. Wheeler | Physical Therapist | 9515 E 51st St, Suite G & F, Tulsa, OK 74145-9053 | 2007-03-27 |
| 1114103793 | American Current Care Pa | Clinic/Center | 9515 E 51st St, Suite G, Tulsa, OK 75145 | 2008-01-14 |
| 1245352731 | Bradley D Helton | Physician Assistant | 9515 E 51st St, Suite G & F, Tulsa, OK 74145-9053 | 2007-04-04 |
| 1881712545 | Deb D. Hildebrand | Physical Therapy Assistant | 9515 E 51st St, Suite G & F, Tulsa, OK 74145-9053 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629494000 | Lee Ann Schafer | Preventive Medicine | 1027 E 66th St N, Tulsa, OK 74126-1349 | 2014-03-10 |
| 1366560104 | John W. Hallford Jr. | Preventive Medicine | 5682 W Skelly Dr, Tulsa, OK 74107-9144 | 2007-03-27 |
| 1922137926 | Gregory L Mitchell | Preventive Medicine | 1515 N Harvard, Suite B, Tulsa, OK 74115 | 2007-03-05 |
| 1659427391 | William R. Gillock | Preventive Medicine | 7170 S Braden Ave, # 175, Tulsa, OK 74136-6329 | 2007-01-26 |
| 1437134657 | Karen Gail Smallwood Ryan | Preventive Medicine | 7820 E 15th Pl, Tulsa, OK 74112-7832 | 2005-12-09 |
| 1548383003 | Tiari Avakian Harris | Preventive Medicine | 1923 S Utica Ave, Ehs - 3rd Floor Kravis Building, Tulsa, OK 74104-6520 | 2007-04-09 |
| 1447379987 | Jerrold Benedict | Preventive Medicine | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2007-03-28 |
| 1932227691 | Christian Nielsen | Preventive Medicine | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341224 | Mosaic Medical Foundation West Okc | Preventive Medicine | 1139 N Meridian Ave, Oklahoma City, OK 73107-5095 | 2020-03-19 |
| 1164709598 | Whitney Anne Johnson | Preventive Medicine | 107 E Anderson Ave, Waurika, OK 73573-3008 | 2011-11-14 |
| 1417120023 | Robert Luther Swicord | Preventive Medicine | 14300 N Pennsylvania Ave, # 57, Oklahoma City, OK 73134-6066 | 2008-04-04 |
| 1851509236 | Gary Lloyd Massad | Preventive Medicine | 7501 N Country Club Drive, Oklahoma City, OK 73116 | 2007-05-18 |
| 1558489385 | Stephen P. Klassen | Preventive Medicine | 6101 W Reno Ave, Suite 800, Oklahoma City, OK 73127-6542 | 2007-03-27 |
| 1730204975 | William C Parsons | Preventive Medicine | 310 S Keeler, B-fptc Medical, Bartlesville, OK 74004-0001 | 2007-03-20 |
| 1245361500 | Jeffrey Paul Pardee | Preventive Medicine | 1006 Sw 104th St, Oklahoma City, OK 73139-2990 | 2007-03-08 |
| 1891825337 | Debra Lea Montgomery | Preventive Medicine | 1500 W I 240 Service Rd, Oklahoma City, OK 73159-8209 | 2007-03-06 |
| 1174650782 | Myron Mills | Preventive Medicine | 238 S Quadrum Dr, Oklahoma City, OK 73108-1101 | 2007-02-28 |
| 1386723369 | Pinnacle Healthcare of Oklahoma, LLP | Preventive Medicine | 10512 N 110 East Avenue, Suite 220, Owasso, OK 74055 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
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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.