MICHAEL WAGNER (NPI# 1285169037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285169037 |
| Entity Type | Individual |
| Full Name | MICHAEL WAGNER |
| Credential | D.O. |
| Practice Address |
4316 E Avalon Dr #11 Phoenix AZ 85018-7245 |
| Practice Telephone | 4808183495 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1235585191 | Michael Charles Wagner | Occupational Therapist | 170 2nd St S, Nampa, ID 83651-3708 | 2016-05-10 |
| 1033555362 | Michael S Wagner | Marriage & Family Therapist | 3263 Sacramento St, Suite B, San Francisco, CA 94115-2054 | 2013-05-14 |
| 1013154293 | Michael James Wagner | Counselor | 10207 E Shady Rock Ln, Tucson, AZ 85749-8162 | 2009-01-09 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| 1609903178 | Michael John Wagner | Dentist | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2007-02-28 |
| 1073655825 | Michael C Wagner II | Nurse Practitioner | 603 N Logan Ave, Danville, IL 61832-4320 | 2007-02-12 |
| 1760577340 | Michael Dale Wagner | Psychologist | 5415 Medallion Dr W, Westerville, OH 43082-9194 | 2006-10-03 |
| 1083719942 | Michael E Wagner | Chiropractor | 8553 Hickman Rd, Urbandale, IA 50322-4321 | 2006-09-14 |
| Street Address |
4316 E AVALON DR #11 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-7245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615814 | Ethan Robert Curtis | Student in an Organized Health Care Education/Training Program | 9467 Dinglehole Rd, Phoenix, NY 13135-9504 | 2020-09-25 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1568075877 | Melissa Coronado | Student in an Organized Health Care Education/Training Program | 1906 W Latona Ln, Phoenix, AZ 85041-7703 | 2020-08-26 |
| 1801409248 | Javier Bruno Limon | Student in an Organized Health Care Education/Training Program | 4233 N 77th Dr, Phoenix, AZ 85033-2401 | 2020-08-25 |
| 1841803277 | Tiffany Figueroa | Student in an Organized Health Care Education/Training Program | 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 | 2020-08-25 |
| 1669085353 | Lea Yusupov | Student in an Organized Health Care Education/Training Program | 325 W Anderson Ave, Phoenix, AZ 85023-6545 | 2020-08-24 |
| 1528671179 | Olivia Rose Warner | Student in an Organized Health Care Education/Training Program | 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 | 2020-08-24 |
| 1689285470 | Mati Aamed | Student in an Organized Health Care Education/Training Program | 5350 N 20th St, Phoenix, AZ 85016-3321 | 2020-08-13 |
| 1124638689 | Emily Anne Nelson | Student in an Organized Health Care Education/Training Program | 22829 N 39th Run, Phoenix, AZ 85050-5417 | 2020-08-08 |
| Find all providers in PHOENIX | ||||
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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.