ANDREW STEPHEN WAGNER (NPI# 1285722819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285722819 |
| Entity Type | Individual |
| Full Name | ANDREW STEPHEN WAGNER |
| Credential | MD |
| Practice Address |
819 Longwood Ln Sebastopol CA 95472-2734 |
| Practice Telephone | 7078233456 |
| Practice Fax Number | 7078233516 |
| Mailing Telephone | 7078233456 |
| Mailing Fax Number | 7078233516 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | G50907 | CA | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
G50907 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780198416 | Andrew Howard Wagner | Physical Therapist | 120 Briggswood Dr, Elma, NY 14059-9477 | 2017-11-16 |
| 1568860401 | Andrew Anthony Wagner | Chiropractor | 103 N Choteau Ave, Hardin, MT 59034-2111 | 2014-12-09 |
| 1992072151 | Andrew Wagner | Pharmacist | 4295 County Road 12, Lafayette, AL 36862-5209 | 2011-11-16 |
| 1427130814 | Andrew Thomas Wagner | Physical Therapist | 10205 Hickory Valley Dr, Fort Wayne, IN 46835-9558 | 2006-10-19 |
| 1699722082 | Andrew A Wagner | Urology | Rabb 440, Beth Israel Deaconess Medical Center, Boston, MA 02215-0000 | 2006-05-30 |
| 1306802087 | Andrew Blake Wagner | Physical Therapist | 7701 West Kilgore, Ste 1a, Yorktown, IN 47396 | 2006-04-22 |
| 1619511623 | Andrew Wagner | Pharmacist | 302 Valley Hi Dr, San Antonio, TX 78227-4602 | 2019-11-01 |
| 1861058315 | Andrew John Wagner | Audiologist | 3170 N Federal Hwy Ste 115, Lighthouse Point, FL 33064-6786 | 2019-05-09 |
| 1861978819 | Andrew Wagner | Nurse Anesthetist, Certified Registered | 2823 Fresno St, Fresno, CA 93721-1324 | 2018-07-12 |
| 1821584830 | Andrew J Wagner | Pharmacist | 311 W Broadway St, Eagle Grove, IA 50533-1711 | 2018-07-03 |
| Street Address |
819 LONGWOOD LN |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689714370 | Carina Z. Wagner | Acupuncturist | 819 Longwood Ln, Sebastopol, CA 95472-2734 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617978 | St. Joseph Home Care Network | Family Medicine | 447 College Ave, Santa Rosa, CA 95401-5141 | 2020-04-09 |
| 1639704604 | Rose Desert Hospice | Family Medicine | 42156 10th St W Ste 106, Lancaster, CA 93534-7025 | 2020-03-10 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1083145247 | Michael J Cortez Md Inc | Family Medicine | 826 Alberta St, Altadena, CA 91001-5322 | 2017-03-21 |
| 1760735492 | Devader Medical & Research Group,inc. | Family Medicine | 175 N Redwood Dr, Suite 275, San Rafael, CA 94903-1972 | 2012-10-18 |
| 1306197520 | Eunice Kim | Family Medicine | 25941 Campo Cv, Loma Linda, CA 92354-6531 | 2012-09-27 |
| 1114155215 | Mook-lan Sauvignon Iglowitz | Family Medicine | 4150 V Street Suite 3400, Palliative Care Department, Sacramento, CA 95817 | 2009-06-26 |
| 1063672244 | Satya Chelamkuri | Family Medicine | El Camino Hospital, 2500 Grant Road, Mountain View, CA 94040 | 2008-06-11 |
| 1053528455 | Richard Marc Goldstein | Family Medicine | 1920 E Katella Ave Ste U, Orange, CA 92867-5146 | 2007-05-16 |
| 1386866689 | Michelle A Thomas Md Inc | Family Medicine | 6061 N First, Suite 102, Fresno, CA 93729 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
Please comment or provide details below to improve the information on ANDREW STEPHEN 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.