DR. JAIME STEPHAN WAGNER (NPI# 1306021704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306021704 |
| Entity Type | Individual |
| Full Name | DR. JAIME STEPHAN WAGNER |
| Credential | D.O. |
| Practice Address |
1331 N Elm St Ste 200 Greensboro NC 27401-6304 |
| Practice Telephone | 3362749617 |
| Practice Fax Number | 3364822177 |
| Mailing Telephone | 3362749617 |
| Mailing Fax Number | 3364822177 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2012-00139 | NC | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
162768 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356899868 | Jaime Victoria Wagner | Speech-Language Pathologist | 825 Old Lancaster Rd, Suite 250, Bryn Mawr, PA 19010-3231 | 2016-09-13 |
| 1588975494 | Jaime Lynne Wagner | Occupational Therapist | 13 Locust Street, Glens Falls, NY 12801 | 2010-06-24 |
| Street Address |
1331 N ELM ST STE 200 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887247 | Liviu E Pop | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2005-08-09 |
| 1730736885 | Dominion Radiology LLC | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2019-08-22 |
| 1952875288 | Alexandra Marie Louk | Physician Assistant | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2019-01-21 |
| 1235658642 | Kacie Matthews | Physician Assistant | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2017-09-18 |
| 1720492960 | Kyle Thomas Golden | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2014-06-16 |
| 1184987521 | Serena M Chacko | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401 | 2012-06-20 |
| 1669761698 | William T. Derry | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401 | 2011-03-30 |
| 1497072813 | Michelle Collins | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2010-04-24 |
| 1356584700 | Erin Christine Shaw | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2009-04-15 |
| 1669636197 | Jason A Poff | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859453 | Triad Breast Imaging Center, LLC | Radiology | 3515 W Market St Ste 320, Greensboro, NC 27403-4438 | 2020-04-09 |
| 1073756177 | Total Radiology Solutions P A | Radiology | 5 Dovercrest Ct, Greensboro, NC 27407-8314 | 2009-04-20 |
| 1851568489 | Benjamin William Mcclintock | Radiology | 1331 N. Elm Street, Ste. 200, Greensboro, NC 27401-6304 | 2008-05-13 |
| 1336359199 | Melanie Bernadette Sanford | Radiology | 1331n Elm St 200, Greensboro, NC 27401-6304 | 2007-05-23 |
| 1992736326 | Diagnostic Radiology & Imaging, LLC | Radiology | 315 W Wendover Ave, Greensboro, NC 27408-8401 | 2006-07-05 |
| 1225077829 | Kyle D Talbot | Radiology | 1331 N. Elm St, Suite 200, Greensboro, NC 27401-6304 | 2006-06-06 |
| 1366497521 | John Arthur Strong | Radiology | 1317 N. Elm Street, Suite 1 B, Greensboro, NC 27401-1023 | 2006-05-24 |
| 1790743078 | Triad Imaging LLC | Radiology | 2705 Henry St, Greensboro, NC 27405-3669 | 2006-05-03 |
| 1538132162 | Geoffrey T Lamke | Radiology | 14 Canvasback Pt, Greensboro, NC 27455-1327 | 2006-02-13 |
| 1679551725 | William Walter Woodruff IIi | Radiology | 1331 N. Elm St., Ste. 200, Greensboro, NC 27401-6304 | 2006-01-08 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
Please comment or provide details below to improve the information on DR. JAIME STEPHAN 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.