LYNN VAN WAGNEN MD PC (NPI# 1396973129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396973129 |
| Entity Type | Organization |
| Organization Name | LYNN VAN WAGNEN MD PC |
| Practice Address |
1310 Greenwood Ave Jackson MI 49203-3077 |
| Practice Telephone | 5177871990 |
| Practice Fax Number | 5177879183 |
| Mailing Telephone | 5177871990 |
| Mailing Fax Number | 5177879183 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | DR. LYNN CLARK VAN WAGNEN (PHYSICIAN) |
| Authorized Official Telephone | 5177871990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 038051 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1310 GREENWOOD AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609833359 | Lynn Clark Vanwagnen | Internal Medicine | 1310 Greenwood Ave, Jackson, MI 49203-3077 | 2006-04-27 |
| 1548765340 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1310 Greenwood Ave, Jackson, MI 49203-3077 | 2018-03-26 |
| 1629371448 | Aaron M Vanwagnen Md Pllc | Internal Medicine | 1310 Greenwood Ave, Jackson, MI 49203-3077 | 2010-12-16 |
| 1013145846 | Aaron Van Wagnen Md Pllc | Internal Medicine | 1310 Greenwood Ave, Jackson, MI 49203-3077 | 2009-07-01 |
| 1194967166 | Bency Mathai Md Pllc | Clinic/Center | 1310 Greenwood Ave, Jackson, MI 49203-3077 | 2009-04-06 |
| 1376681379 | Ali Orandi M.d., Plc | Internal Medicine | 1310 Greenwood Ave, Suite 20, Jackson, MI 49203-3077 | 2007-02-02 |
| 1245305044 | Aaron Michael Vanwagnen | Internal Medicine | 1310 Greenwood Ave, Jackson, MI 49203-3077 | 2006-11-21 |
| 1881768810 | Ali Orandi | Internal Medicine | 1310 Greenwood Ave, Ste 20, Jackson, MI 49203-3077 | 2006-11-20 |
| 1457319832 | David Lee Halsey | Internal Medicine | 1310 Greenwood Ave, Ste #6, Jackson, MI 49203-3077 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| 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 |
|---|---|---|---|---|
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1356605752 | Jeremy Taylor | Internal Medicine | 971 Lakeland Dr Ste 450, Jackson, MS 39216-4615 | 2012-06-29 |
| 1134416019 | Zubair Khan | Internal Medicine | 3291 Creekwood Cir, Jackson, WI 53037-8927 | 2011-06-29 |
| 1801181466 | Anne Marie Shute | Internal Medicine | 7 Windwood Dr, Jackson, TN 38305-8835 | 2011-06-12 |
| 1487945648 | Howard Carroll Friday | Internal Medicine | 4019 Old Canton Rd., Jackson, MS 39216 | 2011-04-22 |
| 1801195003 | Mahir H Alsalman | Internal Medicine | 3100 Cooper St, Jackson, MI 49201-7545 | 2011-03-28 |
| 1912138967 | Tatum Medical Clinic | Internal Medicine | 5903 Ridgewood Rd Ste 330, Jackson, MS 39211-3702 | 2009-08-06 |
| 1306089040 | Hussein Othman | Internal Medicine | 205 Page Ave Ste B, Jackson, MI 49201-2462 | 2009-04-10 |
| Find all providers in JACKSON | ||||
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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.