AMANDA ELLEN WAGNER (NPI# 1235457359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235457359 |
| Entity Type | Individual |
| Full Name | AMANDA ELLEN WAGNER |
| Credential | MD |
| Practice Address |
1532 Lone Oak Rd Suite 245 Paducah KY 42003-7913 |
| Mailing Address |
Po Box 636961 Cincinnati OH 45263-6961 |
| Practice Telephone | 2705385700 |
| Practice Fax Number | 2705385701 |
| Mailing Telephone | 5139815130 |
| Mailing Fax Number | 5139815015 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 43867 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100131400 | 05 | |
| KY | RR MEDICARE | P00947909 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707072 | Amanda Lynn Wagner | In Home Supportive Care | 158 Fairhome Ave, Clyde, OH 43410-2006 | 2020-10-12 |
| 1205478294 | Amanda Wagner | Marriage & Family Therapist | 7021 W 153rd St Ste 5, Orland Park, IL 60462-5397 | 2019-10-11 |
| 1144683574 | Amanda Wagner | Counselor | 900 Darlington Ave, Mahwah, NJ 07430-2526 | 2016-04-02 |
| 1659748911 | Amanda E Wagner | Clinical Neuropsychologist | 2000 Alameda De Las Pulgas Ste 242, San Mateo, CA 94403-1271 | 2015-08-21 |
| 1295090504 | Amanda Wagner | Speech-Language Pathologist | 120 Se 5th Ave, Apt 223, Boca Raton, FL 33432-5072 | 2012-07-12 |
| 1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
| 1396365797 | Amanda Wagner | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-26 |
| 1164058020 | Amanda C Wagner | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-03-22 |
| 1780214320 | Amanda Wagner | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2020-01-23 |
| 1366089914 | Amanda Wagner | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2019-12-03 |
| Street Address |
1532 LONE OAK RD SUITE 245 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-7913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001601 | James Shumaker | Pediatrics | 1532 Lone Oak Rd, Ste 345, Paducah, KY 42003-7942 | 2005-05-24 |
| 1790225977 | Tiffany Lynn Cates | Nurse Practitioner | 1532 Lone Oak Rd, Ste 143, Paducah, KY 42003 | 2017-03-07 |
| 1700258183 | Kimberly Jernigan | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2015-10-26 |
| 1235505827 | Darrell New I | Nurse Practitioner | 1532 Lone Oak Rd, Suite 150, Paducah, KY 42003-7940 | 2015-08-18 |
| 1194112755 | Catherine Lee Reimnitz | Nurse Practitioner | 1532 Lone Oak Rd, Suite 345, Paducah, KY 42003-7942 | 2015-04-22 |
| 1093101958 | Julie Ann Emerine Heeb | Nurse Practitioner | 1532 Lone Oak Rd, Suite 430, Paducah, KY 42003-7913 | 2015-04-07 |
| 1508115007 | Kristie Hack | Nurse Practitioner | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7942 | 2012-08-30 |
| 1114285723 | Lance D Williamson | Nurse Practitioner | 1532 Lone Oak Rd, Suite 315, Paducah, KY 42003-7913 | 2012-05-02 |
| 1730475302 | Elyse A Hale | Specialist/Technologist, Other | 1532 Lone Oak Rd, Suite 445, Paducah, KY 42003-7913 | 2011-06-22 |
| 1134433931 | Deborah Lynn Bray | Clinical Nurse Specialist | 1532 Lone Oak Rd, Suite 415, Paducah, KY 42003-7913 | 2010-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1477540508 | Paul H Price Jr. | Obstetrics & Gynecology | 2311 Kentucky Ave, Paducah, KY 42003-3243 | 2005-10-04 |
| 1821232273 | Amber D Savells | Obstetrics & Gynecology | 2605 Kentucky Ave, Suite 301, Paducah, KY 42003-3800 | 2009-04-29 |
| 1952566788 | Miriam Danese Slatter Hall | Obstetrics & Gynecology | 1532 Lone Oak Rd, Suite 245, Paducah, KY 42003-7941 | 2008-07-21 |
| 1629274576 | Dr. Pamela S. Hodges Md Psc | Obstetrics & Gynecology | 2605 Kentucky Ave, Suite 304, Paducah, KY 42003-3800 | 2007-06-26 |
| 1508061599 | Purchase Womens Health Care Associates P S C | Obstetrics & Gynecology | 2603 Kentucky Ave, Suite 101, Paducah, KY 42003 | 2007-06-19 |
| 1962626598 | Mercy Health Partners - Lourdes, Inc | Obstetrics & Gynecology | 1532 Lone Oak Rd, Suite 245, Paducah, KY 42003-7913 | 2007-04-13 |
| 1720115009 | Dr. Kelly Raff Anunciato D.o. Psc | Obstetrics & Gynecology | 2605 Kentucky Ave, Ste 502 - Bldg 3, Paducah, KY 42003 | 2007-02-27 |
| 1487729711 | Owens Obstetrics and Gynecology Psc | Obstetrics & Gynecology | 2603 Kentucky Ave, Ste 302, Paducah, KY 42003-3814 | 2006-11-21 |
| 1033283247 | Bradley Wayne Housman | Obstetrics & Gynecology | 2603 Kentucky Ave, Suite 302, Paducah, KY 42003 | 2006-11-20 |
| Find all providers in PADUCAH | ||||
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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.