DIANE WAGNER (NPI# 1194812164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194812164 |
| Entity Type | Individual |
| Full Name | DIANE WAGNER |
| Credential | M.D. |
| Practice Address |
43 Shebar Dr Islip NY 11751-4409 |
| Practice Telephone | 6315811119 |
| Mailing Telephone | 6315811119 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
182713 | NY | Allopathic & Osteopathic Physicians |
| X | 207ZM0300X |
Pathology Specialization: Medical Microbiology |
182713 | NY | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
182713 | NY | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
182713 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104159615 | Diane Marie Wagner | Specialist | 364 Division St, Park Falls, WI 54552-1258 | 2009-09-15 |
| 1194211540 | Diane Wagner | Psychologist | 11130 Fairfax Blvd Ste 305, Fairfax, VA 22030-5035 | 2018-07-09 |
| 1366998528 | Diane Marie Wagner | Counselor | 4701 Van Dorn St, Lincoln, NE 68506-2562 | 2016-08-28 |
| 1235540402 | Diane Wagner | Pharmacist | 4963 John R Rd, Troy, MI 48085-3572 | 2014-05-09 |
| 1083777148 | Diane Wagner | Social Worker | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2006-12-19 |
| 1770502338 | Diane Marie Wagner | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608 | 2006-07-18 |
| 1336180900 | Diane Brown Wagner | Radiology | 1453 E Bert Kouns Loop, Radiology, Shreveport, LA 71105-6800 | 2006-06-08 |
| Street Address |
43 SHEBAR DR |
| City | ISLIP |
| State | NY |
| Zip Code | 11751-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528423 | Lindasy Abrams | Clinic/Center | 501 Moffitt Blvd, Islip, NY 11751 | 2018-08-17 |
| 1487149720 | Michael James Rivezzo | Occupational Therapist | 148 Monell Ave, Islip, NY 11751 | 2018-06-28 |
| 1114437894 | Raluchukwu Okonkwo Inc. | Clinic/Center | 59 38th Street, Islip, NY 11751 | 2017-10-06 |
| 1407228844 | Eileen Marie Hannon | Nurse Practitioner | 39 Iron Wood Street, Islip, NY 11751 | 2015-10-26 |
| 1427439132 | Sean Lynch | Podiatrist | 2330 Union Boulevard, Union Medical Plaza, Islip, NY 11751 | 2015-06-18 |
| 1700130002 | Elizabeth C Smith | Speech-Language Pathologist | 355 Cedar Avenue, Islip, NY 11751 | 2012-11-08 |
| 1760792592 | Commack Speech and Language | Early Intervention Provider Agency | 4 Suellen Court, Islip, NY 11751 | 2010-10-14 |
| 1861623472 | Adrian Carlo Lombardi | Family Medicine | 215 Islip Ave Ste 2, Islip, NY 11751 | 2009-07-30 |
| 1154566875 | Pamela J Torres | Social Worker | 2455 Union Blvd Apt, 3a, Islip, NY 11751 | 2008-12-09 |
| 1992978654 | Gloria S Escobar | Family Medicine | 148 Islip Avenue, Suite 27, Islip, NY 11751 | 2008-04-02 |
| Find all providers in zip 11751 | ||||
| Taxonomy Code | 207ZB0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Blood Banking & Transfusion Medicine |
| A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396237137 | Lisa Thuyan Huynh | Pathology | 345a Liberty Ave, Staten Island, NY 10305-2213 | 2018-06-06 |
| 1669880233 | Linda Mamone | Pathology | 101 Nicolls Rd Rm 710, Stony Brook, NY 11794-0001 | 2014-07-28 |
| 1558709352 | Brent A Enniss | Pathology | 766 Irving Ave, Syracuse, NY 13210 | 2013-06-13 |
| 1962775338 | Gail Moskowitz | Pathology | 45 West 60th Street, Suite 16g, New York, NY 10023-7943 | 2012-02-16 |
| 1831425479 | Avrum H. Golub | Pathology | 547 Asharoken Ave, Northport, NY 11768-1121 | 2009-11-01 |
| 1881874642 | Fay West | Pathology | 40 Sunshine Cottage Rd, Skyline Bldg, #1n-j14, New York Medical College Dept Peds Heme Onc, Valhalla, NY 10595 | 2007-11-09 |
| 1962605972 | Therese Martin Dimaio | Pathology | 325 East 57th Street, Apt 4b, New York, NY 10022 | 2007-06-07 |
| 1891903258 | New York Downtown Pathology | Pathology | 170 William St # 706, New York, NY 10038-2612 | 2007-05-18 |
| 1720295702 | Visalam Chandrasekaran | Pathology | The New York Blood Center, 310, E 67 Street, New York, NY 10021 | 2007-05-17 |
| 1528193968 | John William Burch | Pathology | 825 John St, West Henrietta, NY 14586-9790 | 2007-02-23 |
| 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.