DAVID GORDON WAGNER (NPI# 1326046897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326046897 |
| Entity Type | Individual |
| Full Name | DAVID GORDON WAGNER |
| Credential | MD |
| Practice Address |
14955 Shady Grove Rd Suite 125 Rockville MD 20850-8700 |
| Practice Telephone | 3017651816 |
| Practice Fax Number | 3018389712 |
| Mailing Telephone | 3017651816 |
| Mailing Fax Number | 3018389712 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2010-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | D0051588 | MD | Other Service Providers |
| N | 207W00000X | Ophthalmology | G64967 | CA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 0101053417 | VA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD20367 | DC | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | D0051588 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538236757 | David Michael Wagner | Counselor | 8335 40th Ave N, St Petersburg, FL 33709-3934 | 2006-11-30 |
| 1912079823 | David A Wagner Sr. | Dentist | 43 East Mills Street, Columbus, NC 28722 | 2006-11-15 |
| 1205917523 | David Wagner | Dentist | 1919 N Pearl St Ste A3, Tacoma, WA 98406-2456 | 2006-10-17 |
| 1255444345 | David Robert Wagner | Chiropractor | 3107 W Slaughter Ln, Austin, TX 78748-5574 | 2006-08-16 |
| 1265448328 | David C Wagner | Physical Therapist | 3105 Main St, Marlette, MI 48453-1508 | 2006-07-31 |
| 1821012105 | David Wagner | Internal Medicine | 135 East 37th St, New York, NY 10016 | 2006-07-27 |
| 1295754778 | David A Wagner | Optometrist | 3285 State Route 257, Seneca, PA 16346-2529 | 2006-07-18 |
| 1508847997 | David Scott Wagner | Chiropractor | 31285 Temecula Pkwy Ste 260, Temecula, CA 92592-6830 | 2005-11-11 |
| 1821085168 | David Edwin Wagner | Dentist | 5992 Howdershell Rd, Ste 206, Hazelwood, MO 63042-4107 | 2005-10-03 |
| 1043666308 | David William Wagner | Registered Nurse | 3853 Rosecrans Street, San Diego County Psychiatric Hospital, San Diego, CA 92110-3115 | 2016-05-05 |
| Street Address |
14955 SHADY GROVE RD SUITE 125 |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477981090 | Arthritis and Rheumatism Associates, P.C. | Physical Therapist | 14955 Shady Grove Rd, 255, Rockville, MD 20850-8700 | 2013-10-16 |
| 1851647978 | Patricia Diane Young | Nurse Practitioner | 14955 Shady Grove Rd, Suite 100, Rockville, MD 20850-8700 | 2012-07-26 |
| 1285997403 | Tatyana Oks | Dentist | 14955 Shady Grove Rd, Rockville, MD 20850-8700 | 2012-06-21 |
| 1477814044 | Potomac Obstetrics & Gynecology, LLC | Obstetrics & Gynecology | 14955 Shady Grove Rd, Suite 250, Rockville, MD 20850-8700 | 2012-05-31 |
| 1457678492 | Olanma Yvonne Okoji | Internal Medicine | 14955 Shady Grove Rd, Suite 150, Rockville, MD 20850-8700 | 2010-04-30 |
| 1346472503 | Harjit Kaur Bhogal | Internal Medicine | 14955 Shady Grove Rd, Suite 150, Rockville, MD 20850-8700 | 2009-08-20 |
| 1073771440 | Chirag Patel | Dentist | 14955 Shady Grove Rd, Suite 330, Rockville, MD 20850-8700 | 2008-06-02 |
| 1427225887 | Leigh Bornstein Lurie | Internal Medicine | 14955 Shady Grove Rd, Suite 150, Rockville, MD 20850-8700 | 2008-05-14 |
| 1689846842 | David Lawrence Jager | Internal Medicine | 14955 Shady Grove Rd, Suite 150, Rockville, MD 20850-8700 | 2008-03-27 |
| 1679766794 | Lisa Cohen | Dentist | 14955 Shady Grove Rd, Suite 330, Rockville, MD 20850 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245736750 | Stuart Lessans | Ophthalmology | 6112 Rosemont Circle, Rockville, MD 20852 | 2018-04-03 |
| 1780048173 | Gregory Lihau Fu | Ophthalmology | 15005 Shady Grove Rd Ste 100, Rockville, MD 20850-6341 | 2016-04-11 |
| 1801021100 | Minh Nguyen Vo | Ophthalmology | 600 Farm Pond Ln, Rockville, MD 20852-4243 | 2009-05-15 |
| 1780732024 | Manuel Bernaldes Datiles IIi | Ophthalmology | 1522 Columbia Ave, Rockville, MD 20850-1007 | 2007-01-05 |
| 1497828404 | Robert A Ralph | Ophthalmology | 6212 Montrose Road, Rockville, MD 20852-4119 | 2006-11-16 |
| 1801979893 | Toufic S Melki | Ophthalmology | 15020 Shady Grove Rd Ste 302, Rockville, MD 20850-3379 | 2006-10-23 |
| 1245337492 | Stephen Ross Glaser | Ophthalmology | 15235 Shady Grove Rd Ste 101, Rockville, MD 20850-6273 | 2006-09-20 |
| 1114968336 | Alisa Kim | Ophthalmology | 2403 Research Blvd Ste 102, Suite 102, Rockville, MD 20850-6233 | 2006-06-09 |
| 1881668119 | Vinay N Desai | Ophthalmology | 600 Jefferson Plz Ste 320, Rockville, MD 20852-1197 | 2006-02-14 |
| 1811997117 | Robert H Chu | Ophthalmology | 6333 Executive Blvd, Rockville, MD 20852-3905 | 2005-07-28 |
| Find all providers in ROCKVILLE | ||||
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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.