SHAWN CARL WAGNER (NPI# 1235496639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235496639 |
| Entity Type | Individual |
| Full Name | SHAWN CARL WAGNER |
| Practice Address |
2545 County Road 218 Clyde OH 43410-9521 |
| Practice Telephone | 4193070529 |
| Mailing Telephone | 4193070529 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984751 | Shawn Stephens Wagner | Psychiatry & Neurology | 1333 Taylor St Ste 1c, Columbia, SC 29201-2944 | 2019-10-18 |
| 1538127337 | Shawn Michael Wagner | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-02 |
| Street Address |
2545 COUNTY ROAD 218 |
| City | CLYDE |
| State | OH |
| Zip Code | 43410-9521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992136279 | North Coast Professional Company, LLC | Clinic/Center | 1470 West Mcpherson Highway, Clyde, OH 43410 | 2013-12-11 |
| 1346461175 | Rebecca Ann Liskai | Physical Therapy Assistant | 700 Helen Street, Clyde, OH 43410 | 2007-05-01 |
| 1043330871 | Dreffer, Hicks, & Demos O.d. Inc. | Optometrist | 1074 West Mcpherson Highway, Clyde, OH 43410 | 2007-03-29 |
| 1245339852 | David E Mileski | Physical Therapist | 119 Birdseye St, Clyde, OH 43410 | 2006-09-21 |
| 1750497632 | Paul Daniel Reed | Chiropractor | 408 and One Half E Maple St, Reed Chiropractic LLC, Clyde, OH 43410 | 2006-08-22 |
| 1740203017 | Raymond M Colavincenzo | Dentist | 243 West Maple Street, Clyde, OH 43410 | 2006-07-26 |
| 1710404652 | Tiffany C. Lancaster | Nurse Practitioner | 300 W. 10th Avenue, Columbus, OH 43410 | 2017-08-22 |
| 1548550841 | Scott Robert Sendelbach | Pharmacist | 710 North Main St, Clyde, OH 43410 | 2011-04-08 |
| 1073728135 | Victoria Ann Holmes | Occupational Therapy Assistant | 700 Helen St, Clyde, OH 43410 | 2007-05-11 |
| 1114321866 | Maria Apling | Nurse Practitioner | 112 Independence Way, Suite 150, Clyde, OH 43410-0123 | 2014-10-09 |
| Find all providers in zip 43410 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821075 | Luberta Ann Banks | Contractor | 774 Noble Ave, Akron, OH 44320-3773 | 2020-11-06 |
| 1194323600 | Surendran Manoharan | Contractor | 3016 Hemlock Edge Dr, Hilliard, OH 43026-6915 | 2020-10-16 |
| 1891308169 | Brian J Fraley | Contractor | 1326 37th St Nw, Canton, OH 44709-2640 | 2020-08-26 |
| 1942824586 | Brandon H. Rhines | Contractor | 60 Merle Blvd, Munroe Falls, OH 44262-1640 | 2020-05-29 |
| 1710500913 | Helen Scott Custom Builders | Contractor | 165 5th St Se Ste B, Barberton, OH 44203-9001 | 2020-05-21 |
| 1164044913 | Christopher W Cook | Contractor | 3636 Creed Ave, Hubbard, OH 44425-9769 | 2020-05-15 |
| 1083242739 | Kimberly Ellen Hunt | Contractor | 1125 Salem Cave Rd, Beaver, OH 45613-9770 | 2020-03-30 |
| 1376179556 | Ohio Home Renovations | Contractor | 9220 Shawnee Trl, Powell, OH 43065-5012 | 2020-03-19 |
| 1700410222 | Home Improvemint LLC | Contractor | 2630 Hilliard Place Dr, Hilliard, OH 43026-8458 | 2020-02-24 |
| 1578118519 | Tameacko Angellic Preston | Contractor | 1075 Ellsworth Dr, Akron, OH 44313-5211 | 2019-08-06 |
| 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.