DR. LORI B WAGNER


Address: 1502 E Fowler Ave, Tampa, FL 33612-5416
Phone: 8138660950

DR. LORI B WAGNER (NPI# 1164601936) 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) 1164601936
Entity Type Individual
Full Name DR. LORI B WAGNER
Credential D.O.
Practice Address 1502 E Fowler Ave
Tampa
FL 33612-5416
Mailing Address 3905 Appletree Dr
Valrico
FL 33594-4316
Practice Telephone 8138660950
Practice Fax Number 8138660929
Mailing Telephone 8136896051
Enumeration Date 2007-10-30
Last Update Date 2010-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine OS6338 FL Allopathic & Osteopathic Physicians

Other Providers LORI WAGNER

NPI Name Taxonomy Address Enumeration
1467707968 Lori Velji Wagner Speech-Language Pathologist 1640 Marengo St Ste 600, Los Angeles, CA 90033-1056 2012-07-20
1285902387 Lori Wagner Clinical Neuropsychologist 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877 2011-12-05
1174775035 Lori Ann Wagner Counselor 109 S Cate St, Suite 5, Hammond, LA 70403-4299 2008-10-22
1710972260 Lori A Wagner Registered Nurse 2387 Professional Heights Dr Ste 180, Lexington, KY 40503-3013 2005-09-12
1366936528 Lori Wagner Occupational Therapist 2025 Hayes Ave, Sandusky, OH 44870-4739 2018-06-20
1538542246 Lori Ann Wagner Counselor 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 2015-06-30
1114202421 Lori J Wagner Nurse Practitioner 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2011-10-18
1164697520 Lori Finch Wagner Pediatrics 11 Vanderbilt Park Dr, Asheville, NC 28803-1700 2008-04-28
1851410823 Lori E Wagner Nurse Practitioner 1212 Asquithpines Pl, Arnold, MD 21012-2149 2007-03-28
1548274608 Lori W Wagner Internal Medicine 800 Zorn Ave, Louisville, KY 40206-1433 2006-07-27

Office Location

Street Address 1502 E FOWLER AVE
City TAMPA
State FL
Zip Code 33612-5416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417953571 Tampa Family Health Centers Inc Clinic/Center 1502 E Fowler Ave, Tampa, FL 33612-5416 2005-06-23
1013311703 Kenneth Argote Nurse Practitioner 1502 E Fowler Ave, Tampa, FL 33612-5416 2014-10-09
1629481403 Michelle Migliore Nurse Practitioner 1502 E Fowler Ave, Tampa, FL 33612-5416 2014-06-09
1073859989 Nehelia Cedella Johnson Nurse Practitioner 1502 E Fowler Ave, Tampa, FL 33612-5416 2012-12-20
1861749459 William Guerra Dentist 1502 E Fowler Ave, Tampa, FL 33612-5416 2012-08-14
1639473515 Arnaldo Sanchez Internal Medicine 1502 E Fowler Ave, Apt 2812, Tampa, FL 33612-5416 2011-01-06
1952538142 Monica Perez Dentist 1502 E Fowler Ave, Tampa, FL 33612-5416 2009-06-16
1003069022 Randi Marie Bustin Physician Assistant 1502 E Fowler Ave, Tampa, FL 33612-5416 2008-11-04
1104955897 Anjali Krishnakumar Rajani Dentist 1502 E Fowler Ave, Tampa, FL 33612-5416 2007-03-05
1912086067 Donita I Dobson Internal Medicine 1502 E Fowler Ave, Tampa, FL 33612-5416 2006-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286767 Daniel Jimenez Physical Therapist 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 2020-08-19
1700426830 Taz Stacy Behavior Technician 2701 University Square Drive, Tampa, FL 33612 2020-01-07
1841853215 Eric Austen Keeler Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 2019-04-20
1346700242 Caitlyn Victoria Cartwright Student in an Organized Health Care Education/Training Program 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 2019-03-25
1720552953 Marijo Bilitski Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 2019-01-22
1790259190 Belkis Aleman Nurse Practitioner 205 E Busch Blvd, Tampa, FL 33612 2019-01-18
1811469133 Stephanie Stegner Physician Assistant 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 2018-12-27
1053889857 Alysia Heather Siegel Psychologist 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 2018-11-09
1295202489 Daisy Baby Pulinilkumkalayil Nurse Practitioner 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 2018-10-26
1649745258 Rachel Rene Shelton Specialist/Technologist Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 2018-10-10
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851909212 Stefanny Molina Mesa Family Medicine 3016 W Kirby St, Tampa, FL 33614-3303 2020-07-21
1245869015 Zenlifemd Pa Family Medicine 18101 Highwoods Preserve Pkwy Ste 120, Tampa, FL 33647-1791 2020-04-03
1184250490 Stetho Md LLC Family Medicine 1707 E Bearss Ave, Tampa, FL 33613 2020-03-18
1447898101 Palms Clinical Services Inc Family Medicine 17008 Palm Pointe Dr Ste 101, Tampa, FL 33647-3504 2019-12-12
1396382545 Advanced Medical Treatments, LLC Family Medicine 4401 W Kennedy Blvd Fl 3, Tampa, FL 33609-2058 2019-12-06
1528604204 Amarillys Alvarado-sojo Family Medicine 10306 Manta Way, Tampa, FL 33615-4252 2019-11-18
1891345138 Adeel Farooqi Family Medicine 3905 W Sevilla St, Tampa, FL 33629-8604 2019-09-18
1003464074 Leslie Kapp-jones Family Medicine 3100 E Fletcher Ave Ste 126, Tampa, FL 33613-4613 2019-09-03
1053895375 Barbara Pierre-louis Family Medicine 12552 Castle Hill Dr, Tampa, FL 33624-4183 2018-09-21
1700366010 Marie A Brister Md LLC Family Medicine 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 2018-08-16
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Competitor

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City TAMPA
Zip Code 33612

Improve Information

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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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