STEPHEN WAGNER (NPI# 1295727600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295727600 |
| Entity Type | Individual |
| Full Name | STEPHEN WAGNER |
| Credential | MD |
| Practice Address |
201 Abraham Flexner Way Louisville KY 40202-3841 |
| Mailing Address |
501 E Broadway Louisville KY 40202-2043 |
| Practice Telephone | 5025874500 |
| Practice Fax Number | 5025874146 |
| Mailing Telephone | 5025894856 |
| Mailing Fax Number | 5025895093 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2011-09-22 |
| NPI Deactivation Date | 03/14/2011 |
| NPI Reactivation Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27535 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64275357 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533633 | Stephen C Wagner | Chiropractor | 5802 Se Powell Blvd, Portland, OR 97206-2826 | 2009-09-11 |
| 1154583805 | Stephen Faust Wagner | Medical Genetics | 714 S Birch Ave, Marshfield, WI 54449-3326 | 2008-06-25 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| 1114396694 | Stephen Lee Wagner | Psychologist | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2015-09-15 |
| 1578981585 | Stephen Wagner | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2014-04-07 |
| 1508112061 | Stephen David Wagner | Internal Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2012-08-01 |
| 1003044173 | Stephen Thomas Wagner | Dentist | 12137 Elm St, Princess Anne, MD 21853-1358 | 2009-06-29 |
| 1063524387 | Stephen R Wagner | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-08-31 |
| 1255443412 | Stephen P Wagner | Ophthalmology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-08-31 |
| 1790710077 | Stephen Charles Wagner | Psychologist | 321 E Main St, Suite 205, Bozeman, MT 59715 | 2006-07-12 |
| Street Address |
201 ABRAHAM FLEXNER WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846696 | Roberto Bolli | Internal Medicine | 201 Abraham Flexner Way, 1001, Louisville, KY 40202-3841 | 2005-07-28 |
| 1730735556 | Abdulmajeed Abdullah Aljuhiman | Internal Medicine | 201 Abraham Flexner Way, Louisville, KY 40202-3841 | 2019-08-16 |
| 1962055319 | Devan Costelle | Nurse Practitioner | 201 Abraham Flexner Way, Louisville, KY 40202-3841 | 2019-07-24 |
| 1952870479 | Komg-louisville Region Inc. | Psychologist | 201 Abraham Flexner Way, Louisville, KY 40202-3841 | 2018-11-14 |
| 1588132203 | Komg-louisville Region Inc. | Anesthesiology | 201 Abraham Flexner Way, Louisville, KY 40202-3841 | 2018-11-12 |
| 1942789532 | Ellen Bischoff | Nurse Practitioner | 201 Abraham Flexner Way, Louisville, KY 40202 | 2018-08-14 |
| 1073049516 | Kamal Mohamed-ayed Kassem | Internal Medicine | 201 Abraham Flexner Way, Rudd Heart & Lung Bldg, Suite 600, Louisville, KY 40202 | 2017-05-03 |
| 1932635513 | Harkiran Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way, Rudd Heart & Lung Ctr., Ste. 690, Louisville, KY 40202 | 2017-05-03 |
| 1215380563 | Courtney Scott Mckechnie | Nurse Practitioner | 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202-3841 | 2016-07-21 |
| 1952753378 | Tammy Vogt | Nurse Practitioner | 201 Abraham Flexner Way, Louisville, KY 40202-3841 | 2016-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881182657 | Have A Heart Foundation Inc | Internal Medicine | 310 E Broadway Ste 100, Louisville, KY 40202-1745 | 2018-04-27 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1992246953 | Northeast Cardiology Pllc | Internal Medicine | 1313 St.anthony Place, Louisville, KY 40204-0130 | 2017-03-10 |
| 1427410596 | Lauren Albers | Internal Medicine | 550 South Jackson St, Louisville, KY 40202 | 2016-03-28 |
| 1396138202 | Louisville Cardiovascular Care Pllc | Internal Medicine | 1411 Hadleigh Pl, Louisville, KY 40222-5652 | 2015-03-17 |
| 1629481270 | Harleen Chahil | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40202-3841 | 2014-06-10 |
| 1831415579 | Geko Inc | Internal Medicine | 1552 Ormsby Station Ct, Louisville, KY 40223-4019 | 2010-04-19 |
| 1215179908 | Matthew Cody Lee Keith | Internal Medicine | 9070 Dixie Hwy Ste 6, Louisville, KY 40258-1007 | 2009-03-27 |
| 1578691622 | John Loughran Jr. | Internal Medicine | 3900 Kresge Way Ste 60, Louisville, KY 40207-4690 | 2007-03-01 |
| 1316024722 | Cardiology of Kentucky | Internal Medicine | 4003 Kresge Way Ste 221, Louisville, KY 40207-4652 | 2006-11-01 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on 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.