DONALD J WAGNER (NPI# 1134248867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134248867 |
| Entity Type | Individual |
| Full Name | DONALD J WAGNER |
| Credential | D.O. |
| Practice Address |
1355 Ramar Rd Ste 11 Bullhead City AZ 86442-7100 |
| Practice Telephone | 9287047202 |
| Practice Fax Number | 9287049207 |
| Mailing Telephone | 9287047202 |
| Mailing Fax Number | 9287049207 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
3719 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 3719 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295838878 | Donald Edward Wagner | Dentist | 147 Willow Ridge Dr, Amherst, NY 14228-3050 | 2006-09-07 |
| 1376540989 | Donald Wagner | Chiropractor | 10 Copperfield Cir, Lititz, PA 17543-9481 | 2005-06-29 |
| 1811065675 | Donald C Wagner | Emergency Medicine | 1350 S Hickory Street, Melbourne, FL 32901 | 2006-12-01 |
| Street Address |
1355 RAMAR RD STE 11 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455515 | Thomas G Dallman Md PC | Internal Medicine | 1355 Ramar Rd, Suite 12, Bullhead City, AZ 86442-7100 | 2005-11-23 |
| 1730634965 | Desert Spurs Primary Care, Pllc | Family Medicine | 1355 Ramar Rd, Ste. 10, Bullhead City, AZ 86442-7100 | 2016-08-17 |
| 1568643757 | Thomas Gary Dallman | Internal Medicine | 1355 Ramar Rd, Suite 12, Bullhead City, AZ 86442-7100 | 2007-11-16 |
| 1225158470 | Don Wagner Do PC | Physician Assistant | 1355 Ramar Rd, Ste 11, Bullhead City, AZ 86442-7100 | 2007-03-30 |
| 1285761882 | Darlene M Leftwich | Physician Assistant | 1355 Ramar Rd, Bullhead City, AZ 86442-7100 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447699897 | Freeha Afshin Azher | Family Medicine | 1467 Palma Rd Ste 4, Bullhead City, AZ 86442 | 2013-06-19 |
| 1275880288 | Ubercare, LLC | Family Medicine | 2440 Hway 95, Suite B, Bullhead City, AZ 86442-7323 | 2012-08-08 |
| 1831367747 | Michael Shing | Family Medicine | 2440 Adobe Rd, Ste 101, Bullhead City, AZ 86442-4485 | 2008-02-13 |
| 1033252325 | Christina Goldstein-charbonneau | Family Medicine | 2500 Canyon Rd Ste A1, Bullhead City, AZ 86442-8492 | 2007-02-15 |
| 1831127638 | Hidrk Health Care PC | Family Medicine | 967 Hancock Rd, Suite 133, Bullhead City, AZ 86442-5169 | 2006-06-29 |
| 1578526562 | Nadim B Khatib | Family Medicine | 2755 Silver Creek Rd, Suite 109, Bullhead City, AZ 86442-7904 | 2006-04-10 |
| 1538162276 | Cesar K Katigbak | Family Medicine | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2005-05-26 |
| 1245233980 | Kevin Frank Brown | Family Medicine | 2812 Silver Creek Rd, Bullhead City, AZ 86442-8309 | 2005-05-25 |
| 1992233704 | Ryan Timothy Hunley | Family Medicine | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442-8624 | 2017-05-24 |
| 1447787882 | Scott Edward Ewing | Family Medicine | 1355 Ramar Rd Ste 11, Bullhead City, AZ 86442-7100 | 2017-05-16 |
| Find all providers in BULLHEAD CITY | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
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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.