DR. WAGNER GILBERT SANTIAGO (NPI# 1306831854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306831854 |
| Entity Type | Individual |
| Full Name | DR. WAGNER GILBERT SANTIAGO |
| Credential | DPM |
| Practice Address |
251 Wilmot Dr Gastonia NC 28054-4048 |
| Mailing Address |
1600 E Gude Dr Ste 200 Rockville MD 20850-1496 |
| Practice Telephone | 7048610425 |
| Practice Fax Number | 7048610274 |
| Mailing Telephone | 3019337133 |
| Mailing Fax Number | 3019337137 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 429 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAMSI | 27715 | 01 | |
| SC | PDN999 | 05 | |
| CIGNA | 9673684002 | 01 | |
| NC | BCBS | 0802C | 01 |
| WELLPATH | 23301 | 01 | |
| WELLNESS | 108614 | 01 | |
| PRUDENTIAL | 561552247004 | 01 | |
| AETNA | 2211451 | 01 | |
| PARTNERS | 32654 | 01 | |
| AETNA | 7094015 | 01 | |
| CIGNA | 9673684 | 01 |
| Street Address |
251 WILMOT DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194487 | Gaston Foot & Ankle Associates P A | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2005-09-12 |
| 1942841218 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2019-10-08 |
| 1710231469 | Instride Foot and Ankle Specialist, Pllc | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2012-11-02 |
| 1396931481 | Randall J Contento | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2007-09-21 |
| 1265427710 | David Russell Kirlin I | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2005-09-12 |
| 1871588376 | Wilbur Ryan Meredith | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1215330253 | Melanie Eubanks, LLC | Podiatrist | 1421a E Franklin Blvd, Gastonia, NC 28054-4059 | 2014-10-06 |
| 1932194487 | Gaston Foot & Ankle Associates P A | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2005-09-12 |
| 1265427710 | David Russell Kirlin I | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2005-09-12 |
| 1871588376 | Wilbur Ryan Meredith | Podiatrist | 251 Wilmot Dr, Gastonia, NC 28054-4048 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370968 | Mission Foot and Ankle, Pllc | Podiatrist | 4140 Fayetteville Rd, Lumberton, NC 28358-2669 | 2019-01-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1598240525 | Innovative Foot and Ankle Care Pllc | Podiatrist | 318 English Oak Rd, Fletcher, NC 28732-8368 | 2018-09-25 |
| 1568949915 | Natalie Patricia Martinez-jones | Podiatrist | 9601 Holly Point Dr Ste 203, Huntersville, NC 28078-5069 | 2018-07-27 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1508215179 | Bryan Joseph Williams | Podiatrist | 428 N Trade St Ste 100, Matthews, NC 28105-1729 | 2016-06-06 |
| 1477908846 | James Keith Smith | Podiatrist | 6 Regional Dr Suite D, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1578941423 | Kristin A Kirby | Podiatrist | 15419 Hodges Cir Ste 200, Huntersville, NC 28078 | 2015-05-12 |
| 1396138228 | Barnabas Podiatry & Health Wellness Center LLC | Podiatrist | 2709 Southern Trace Dr, Waxhaw, NC 28173-0010 | 2015-03-17 |
| 1578969515 | Hugh Chatham Memorial Hospital | Podiatrist | 150 Chatham Medical Park, Elkin, NC 28621-2445 | 2014-11-18 |
| Find all providers with the same taxonomy | ||||
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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.