DR. JENNIFER KATHLEEN WAGNER (NPI# 1356504674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356504674 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KATHLEEN WAGNER |
| Credential | M.D. |
| Practice Address |
4401 Garth Rd Ste 200 Baytown TX 77521-2122 |
| Practice Telephone | (281) 427-7400 |
| Mailing Telephone | (281) 427-7400 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | BP10030789 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
R2248 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 370477701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1709 Dryden Rd, Suite 1200, Houston, TX 770302400 | 7132002955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508392135 | Jennifer Wagner | Counselor | 702 Holly St, Atlanta, TX 75551-2308 | 2017-05-02 |
| 1881050607 | Jennifer Wagner | Social Worker | 800 S Milwaukee Ave Ste 105, Libertyville, IL 60048-3268 | 2016-01-08 |
| 1093117731 | Jennifer Ann Wagner | Speech-Language Pathologist | 700 Missouri Ave, Jeffersonville, IN 47130-3082 | 2014-09-25 |
| 1578843694 | Jennifer Wagner | Social Worker | 418 Grace Ln, Austin, TX 78746-4813 | 2011-08-19 |
| 1790956258 | Jennifer Camden Wagner | Physical Therapist | 2904 Hickory Ct, Woodridge, IL 60517-4501 | 2008-03-12 |
| 1619165669 | Jennifer Lynn Wagner | Registered Nurse | 6020 Musketeer Dr, Cincinnati, OH 45248-3035 | 2007-10-03 |
| 1679767396 | Jennifer L Wagner | Audiologist | 2035 Commerce Dr Ste 208, Bluffton, IN 46714-9295 | 2007-09-06 |
| 1760674386 | Jennifer Lynn Wagner | Occupational Therapist | 206 Deerlea Ln, Boonton, NJ 07005-9511 | 2007-08-16 |
| 1609980093 | Jennifer R Wagner | Physician Assistant | 20201 Ne 21st Ave, Miami, FL 33179-2804 | 2006-08-19 |
| 1033188412 | Jennifer Ann Wagner | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2006-03-16 |
| Street Address |
4401 GARTH RD STE 200 |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1770939696 | Coastal Bend Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 49 W Bar Le Doc Dr, Corpus Christi, TX 78414-6250 | 2016-05-10 |
| 1619343159 | Tmh Physician Organization | Orthopaedic Surgery | 6624 Fannin, Suite 2600, Houston, TX 77030-2338 | 2015-08-19 |
| 1720454291 | Tmh Physician Organization | Orthopaedic Surgery | 17198 St Lukes Way Ste 600, The Woodlands, TX 77384-8017 | 2015-08-19 |
| 1174999619 | Tmh Physician Organization | Orthopaedic Surgery | 10905 Memorial Hermann Dr Ste 120, Pearland, TX 77584-3490 | 2015-08-19 |
| 1093181562 | Tmh Physician Organization | Orthopaedic Surgery | 915 Gessner Rd., Pro 3, Suite 560, Houston, TX 77024-2572 | 2015-08-19 |
| 1336488501 | Liberty Surgical Associates Pllc | Orthopaedic Surgery | 306 E. Randol Mill Rd., Suite136, Arlington, TX 76011 | 2013-02-08 |
| 1760740930 | Jessica Wingfield | Orthopaedic Surgery | 12230 Coit Rd Ste 100, Dallas, TX 75251-2323 | 2012-04-25 |
| 1841596772 | Charity Mamaa Ogunro | Orthopaedic Surgery | 3670 W Wheatland Rd, Dallas, TX 75237-3462 | 2011-02-10 |
| 1598068835 | Michael Vernon Doyle Md | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 606, Dallas, TX 75231-4424 | 2010-12-08 |
| 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.