DR. PABLO WAGNER (NPI# 1235570839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235570839 |
| Entity Type | Individual |
| Full Name | DR. PABLO WAGNER |
| Credential | M.D. |
| Practice Address |
2401 W Belvedere Ave Baltimore MD 21215-5216 |
| Practice Telephone | 4106019000 |
| Mailing Telephone | 4106019000 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
P28798 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
2401 W BELVEDERE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576086 | Herbert Graham Mathews IIi | Pharmacist | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2005-05-31 |
| 1245837749 | Lea Rose Foster | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-07 |
| 1912504705 | Cassidy Pickles | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-05 |
| 1023623519 | Evelyn Chavez | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-09-10 |
| 1265046742 | Nomy Thomas Jacob | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-09-02 |
| 1649880931 | Rebecca Rochowiak | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-08-03 |
| 1407465446 | Alexander James Morgan | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-27 |
| 1184233181 | Danish Mahmud Jilani | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5270 | 2020-07-24 |
| 1821616244 | Alisa N Li | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-13 |
| 1407474281 | Sushrutha Sridhar | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346361524 | Avigdor Izsak Niv | Orthopaedic Surgery | 2119 Sugarcone Rd, Baltimore, MD 21209-1027 | 2007-04-03 |
| 1891783114 | Peter R Jay | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-3742 | 2005-10-11 |
| 1790338341 | Marissa Elizabeth Bonyun | Orthopaedic Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2019-07-23 |
| 1407297724 | John Vincent Thompson | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215 | 2013-07-15 |
| 1831471234 | St. Paul Place Specialists, Inc. | Orthopaedic Surgery | 301 Saint Paul Pl, Baltimore, MD 21202-2102 | 2011-09-13 |
| 1104007079 | Robert Paxton Mckinstry | Orthopaedic Surgery | 3333 N Calvert St, Suite 400, Baltimore, MD 21218-2867 | 2007-11-20 |
| 1346363322 | Caroline S Moazzam | Orthopaedic Surgery | 5601 Loch Raven Blvd, Smyth Bldg, Suite G-1; Jhu-department of Orthopaedics-g, Baltimore, MD 21239 | 2007-04-06 |
| 1013023647 | Orthopaedic Specialty Center | Orthopaedic Surgery | 2700 Quarry Lake Drive, Suite 300, Baltimore, MD 21209-3746 | 2006-08-23 |
| 1710913934 | Antoniades Orthopaedics, LLC | Orthopaedic Surgery | 3449 Wilkens Ave, Ste 107, Baltimore, MD 21229-5281 | 2006-06-23 |
| 1205874385 | Steve Alan Petersen | Orthopaedic Surgery | 5601 Loch Raven Blvd, Smyth Bldg, Suite G-1, Baltimore, MD 21239-2945 | 2006-06-02 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on DR. PABLO WAGNER.
| 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.