MRS. MICHELLE JAYNE WAGNER (NPI# 1346566577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346566577 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE JAYNE WAGNER |
| Credential | M.D. |
| Practice Address |
248 Mchenry St Burlington WI 53105-1828 |
| Practice Telephone | 2627678000 |
| Mailing Telephone | 2627678000 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 56951 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032066 | Michelle Wagner | Speech-Language Pathologist | 17732 Highland Rd Ste G254, Baton Rouge, LA 70810-3846 | 2018-11-14 |
| 1528265956 | Michelle Dean Wagner | Counselor | 833 Broadway St, Suite 103, Cape Girardeau, MO 63701-5515 | 2007-06-29 |
| 1790265262 | Michelle Wagner | Registered Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-08-15 |
| 1326539180 | Michelle Diane Wagner | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St # 980264, Richmond, VA 23298-5051 | 2018-05-28 |
| 1194276113 | Michelle Wagner | Registered Nurse | 401 Cypress St, Manchester, NH 03103 | 2016-10-14 |
| 1396123485 | Michelle Wagner | Dietitian, Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2015-05-11 |
| 1689006181 | Michelle Lynn Wagner | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2013-08-07 |
| 1407101843 | Michelle Wagner | Behavioral Analyst | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2012-07-23 |
| 1982984811 | Michelle Dillon Wagner | Speech-Language Pathologist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2011-08-23 |
| 1831340850 | Michelle Wagner Iv | Physical Therapist | 21800 Chardon Rd, Euclid, OH 44117-2125 | 2008-10-08 |
| Street Address |
248 MCHENRY ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731529 | Carol Ann Seitz | Registered Nurse | 248 Mchenry St, Burlington, WI 53105-1828 | 2005-06-22 |
| 1598310468 | Shelly L P Glascock | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2019-08-07 |
| 1649740614 | Kirby Curby-warner | Midwife | 248 Mchenry St, Burlington, WI 53105-1828 | 2018-12-03 |
| 1487150629 | Michael Mesirow | Physician Assistant | 248 Mchenry St, Burlington, WI 53105 | 2018-04-05 |
| 1588181523 | Leroy Spurlock | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2017-08-29 |
| 1447791363 | Desiree A Mengo | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105 | 2017-03-10 |
| 1184075053 | Corina E Beck | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2016-06-22 |
| 1528492469 | Kristina J Krogstad | Nurse Practitioner | 248 Mchenry St, Burlington, WI 53105-1828 | 2013-08-28 |
| 1952666554 | Kora Lane Adam | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-07-10 |
| 1831452226 | Danielle D Storm | Physician Assistant | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594056 | Armc Physicians Care, Inc. | Family Medicine | 3128 Commerce Pl, Burlington, NC 27215-5157 | 2012-11-20 |
| 1215214374 | Westside Ob/gyn Center, Pa | Family Medicine | 1694 Westbrook Ave, Burlington, NC 27215-9700 | 2011-11-03 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| 1851676704 | Urgent Cares of America North Carolina Inc | Family Medicine | 104 Huffman Mill Rd, Burlington, NC 27215-5113 | 2011-10-11 |
| 1235459074 | At Home Physicians, Pllc | Family Medicine | 38 Cliff St, Burlington, VT 05401-4505 | 2010-06-03 |
| 1730342585 | Susan M Tiona | Family Medicine | 49777 County Road V, Burlington, CO 80807-9361 | 2008-07-02 |
| 1316114994 | Rebecca Spoerri-bowman | Family Medicine | 101 Cambridge Street, Suite 380, Burlington, MA 01803-2900 | 2008-05-13 |
| 1588701056 | Jonathan Scott Strenio | Family Medicine | 96 Morrill Dr, Burlington, VT 05408-1112 | 2007-01-31 |
| 1245376300 | Sharon Anne Smith | Family Medicine | 425 Milwaukee Ave, Suite One, Burlington, WI 53105-1230 | 2007-01-29 |
| 1629139829 | John D. Ammon | Family Medicine | 3901 Petersburg Rd, Burlington, KY 41005-8786 | 2006-12-12 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
Please comment or provide details below to improve the information on MRS. MICHELLE JAYNE 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.