DR. TIMOTHY JOHN WAGNER


Address: 118 N Durkee St, Appleton, WI 54911-5427
Phone: 9208302225

DR. TIMOTHY JOHN WAGNER (NPI# 1215923156) 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) 1215923156
Entity Type Individual
Full Name DR. TIMOTHY JOHN WAGNER
Credential D.C., B.S.
Practice Address 118 N Durkee St
Appleton
WI 54911-5427
Practice Telephone 9208302225
Practice Fax Number 9208302221
Mailing Telephone 9208302225
Mailing Fax Number 9208302221
Enumeration Date 2005-09-26
Last Update Date 2007-07-08
NPI Deactivation Date 03/24/2006
NPI Reactivation Date 2006-04-05
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 4002-012 WI Chiropractic Providers

Other Providers TIMOTHY WAGNER

NPI Name Taxonomy Address Enumeration
1205949690 Timothy John Wagner Family Medicine 101 Cooper Foster Park Rd, Amherst, OH 44001-1001 2006-08-17
1306899539 Timothy R. Wagner Orthopaedic Surgery 330 Mercy Street, Lake City, SC 29560 2006-05-18
1881644292 Timothy Allen Wagner Chiropractor 2016 W. Houston, Broken Arrow, OK 74012 2006-05-10
1851372619 Timothy J Wagner Family Medicine 124 E Wolters 2nd, Shiner, TX 77984-7109 2005-11-09
1003232075 Timothy Patrick Wagner Pharmacist 402 E Main St, Sidney, MT 59270-4633 2014-03-13
1992143739 Timothy Wagner Orthopaedic Surgery 50 Middle Rd, Henrietta, NY 14467 2013-06-13
1619169935 Timothy Downey Wagner Radiology 7979 Wurzbach Rd Fl 2, San Antonio, TX 78229 2007-08-10
1588773444 Timothy J Wagner Physical Therapist 4861 S 27th St, Milwaukee, WI 53221-2603 2006-08-30

Office Location

Street Address 118 N DURKEE ST
City APPLETON
State WI
Zip Code 54911-5427

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154438810 Neal Diabetic Foot and Ankle Center LLC Podiatrist 118 N Durkee St, Appleton, WI 54911-5427 2006-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912545633 Brotherly Love, LLC Day Training, Developmentally Disabled Services 1513 E Frances St, Appleton, WI 54911 2019-12-12
1952952129 Eagle Point Senior Living Inc Assisted Living Facility 995 East John Street, Appleton, WI 54911 2019-09-27
1619524766 University Rx LLC Pharmacy 133 E College Ave, Appleton, WI 54911 2019-08-23
1174080063 Shayla Russell Counselor Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 2019-02-27
1871086645 Megan Kilsdonk Health Educator 1604 N Meade St, Appleton, WI 54911 2018-06-07
1871085480 Tanya Lynn Vickery Social Worker 410 S. Elm St., Appleton, WI 54911 2018-05-31
1013407501 Teri G Metropulos Counselor 229 S. Morrison, Appleton, WI 54911 2018-05-10
1093211211 Bonnie Anne Korytkowski Student in an Organized Health Care Education/Training Program 229 S. Morrison Street, Appleton, WI 54911 2018-04-05
1639673940 Brett Follett Psychologist 401 S. Elm St., Appleton, WI 54911 2018-03-21
1700202892 Brian Withrow Counselor 607 West 7th St., Appleton, WI 54911 2014-03-13
Find all providers in zip 54911

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386297760 Chiropractic Health of Appleton, LLC Chiropractor 3020 E College Ave Ste H, Appleton, WI 54915-3253 2019-07-24
1407232416 Charity Millard Dc LLC Chiropractor 1230 W College Ave Ste C, Appleton, WI 54914-5287 2015-08-03
1679962161 Stephanie Lynn Vandewettering Chiropractor 1620 S Lawe St Ste 2, Appleton, WI 54915-2420 2015-01-21
1356759369 Darren Collin Strong Chiropractor 715 W Parkway Blvd, Suite C, Appleton, WI 54914-2645 2014-07-23
1841559028 Well Adjusted Wellness Center LLC Chiropractor 612 E. Longview Dr, Suite B, Appleton, WI 54911 2012-05-09
1437429149 Alex Tapplin Chiropractor 1901 E Capitol Dr Ste A, Appleton, WI 54911-8488 2012-01-11
1295004216 Kalista A Sawyer Chiropractor 652 W Ridgeview Dr, Appleton, WI 54911-1254 2011-12-20
1336420751 The Chiropractic Advantage LLC Chiropractor 645 W Ridgeview Dr, Appleton, WI 54911-1254 2011-08-30
1750662219 Brent Buss Chiropractor 658 W Ridgeview Dr, Appleton, WI 54911-1254 2011-08-29
1962790410 Abbott Family Chiropractic, S.c. Chiropractor 2561 E Calumet St, Appleton, WI 54915-4748 2011-07-19
Find all providers in APPLETON

Competitor

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City APPLETON
Zip Code 54911

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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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