PETER J WAGNER (NPI# 1396729539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396729539 |
| Entity Type | Individual |
| Full Name | PETER J WAGNER |
| Credential | MD |
| Practice Address |
1221 Whipple St Eau Claire WI 54703-5270 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7158383240 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35445 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Bellinger St, Eau Claire, WI 547035222 | 7158385222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235676008 | Peter Louis Wagner | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2017-01-31 |
| 1285995100 | Peter J Wagner | Orthopaedic Surgery | 2 Dudley St Ste 200, Providence, RI 02905 | 2012-06-07 |
| 1245440841 | Peter Wagner | Internal Medicine | 350 Heritage Way, Suite 1100, Kalispell, MT 59901-3158 | 2007-05-23 |
| 1609992932 | Peter C. Wagner | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2007-03-21 |
| 1548356280 | Peter Louis Wagner | Dentist | 10535 N Port Washington Rd, Suite 102, Mequon, WI 53092-5583 | 2006-10-04 |
| 1174531388 | Peter William Wagner | Surgery | 30 W Mccreight Ave, Suite 208, Springfield, OH 45504-1842 | 2006-08-03 |
| 1598734196 | Peter B Wagner | Internal Medicine | 600 Moye Blvd, Greenville, NC 27834-4300 | 2006-03-16 |
| 1659341865 | Peter C Wagner | Family Medicine | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2006-01-23 |
| 1962403774 | Peter John Wagner | Psychiatry & Neurology | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2005-08-02 |
| Street Address |
1221 WHIPPLE ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085772 | Steve K Swartz | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703 | 2005-07-06 |
| 1205441748 | Joshua David Militzer | Physical Therapist | 1221 Whipple St, Eau Claire, WI 54703-5200 | 2020-09-11 |
| 1124633813 | Samuel Steinberger | Physical Therapist | 1221 Whipple St, Eau Claire, WI 54703-5200 | 2020-09-10 |
| 1093338576 | Rachel Jo Simon | Genetic Counselor, MS | 1221 Whipple St, Eau Claire, WI 54703-5200 | 2020-05-19 |
| 1063042133 | Frances Jordahl | Counselor | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2020-01-17 |
| 1487298600 | Rebecca Hunsley | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-10-30 |
| 1629622550 | Michelle Forsman | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-07-29 |
| 1831742972 | Debra Callow | Nurse Practitioner | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-07-18 |
| 1730646324 | Brittany Lynn Jensen | Physician Assistant | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-03-01 |
| 1497210785 | Annie Mcsharry | Nurse Practitioner | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619258019 | James L. Delgadillo | Internal Medicine | 2009 Ohm Ave, Eau Claire, WI 54701-4616 | 2011-08-30 |
| 1245326230 | Julia Kyle | Internal Medicine | 431 E Clairemont Ave Ste D, Eau Claire, WI 54701-6480 | 2006-10-05 |
| 1578670832 | Paul James Ruh | Internal Medicine | 3940 Oakwood Hills Pkwy, Suite 2, Eau Claire, WI 54701-8669 | 2006-08-24 |
| 1639116023 | Abolghasem Javaherian | Internal Medicine | E4480 Woodland Dr, Eau Claire, WI 54701-8568 | 2006-06-02 |
| 1740240076 | Michael J Smith | Internal Medicine | 714 W Hamilton Ave, Eau Claire, WI 54701-6937 | 2006-03-23 |
| 1245201532 | Kristin Anne Severson | Internal Medicine | 3802 Oakwood Mall Dr, Eau Claire, WI 54701 | 2006-01-27 |
| 1639151236 | Willie M Pangilinan | Internal Medicine | 1320 W Clairemont Ave Ste 118, Eau Claire, WI 54701-6027 | 2005-11-18 |
| 1194247288 | Jennifer Lynn Henriksen | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2017-07-11 |
| 1700234721 | Angadbir Singh Parmar | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2016-05-31 |
| 1952786543 | Abimbola Adenote | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2015-07-23 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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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.