ANGELA WAGNER (NPI# 1437565025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437565025 |
| Entity Type | Individual |
| Full Name | ANGELA WAGNER |
| Practice Address |
3313 Patriot Ct Herrin IL 62948-3782 |
| Practice Telephone | 6189939910 |
| Practice Fax Number | 6189932774 |
| Mailing Telephone | 6189939910 |
| Mailing Fax Number | 6189932774 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227010956 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679032163 | Angela Michelle Wagner | Nurse Practitioner | 1077 State Route 28 Ste 202, Milford, OH 45150-4000 | 2019-03-14 |
| 1912152612 | Angela Marie Wagner | Physical Therapist | 125 Orange St, Nantucket, MA 02554-4028 | 2008-11-21 |
| 1093326126 | Angela Wagner | Speech-Language Pathologist | 950 Office Park Rd Ste 100, West Des Moines, IA 50265-2548 | 2020-08-12 |
| 1538678446 | Angela Wagner | Community Health Worker | 1680 Chambers St, Eugene, OR 97402-3655 | 2017-09-22 |
| 1306254628 | Angela Diane Wagner | Physical Therapist | 100 Little Dr, Lower Burrell, PA 15068-3345 | 2014-07-30 |
| 1346667730 | Angela Wagner | Social Worker | 1 Medical Center Drive, Social Work - 122, Clarksburg, WV 26301 | 2014-03-24 |
| 1598814584 | Angela I Wagner | Occupational Therapist | 705 E Taylor St, Prairie Du Chien, WI 53821-2110 | 2007-01-09 |
| 1225137813 | Angela K. Wagner | Counselor | 325 9th Ave, Box 359735, Seattle, WA 98104-2420 | 2006-09-21 |
| 1073531711 | Angela D Wagner | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2006-07-18 |
| 1710928270 | Angela B Wagner | Neuromusculoskeletal Medicine & OMM | 5926 Crawfordsville Rd Unit B, Indianapolis, IN 46224-3722 | 2006-06-08 |
| Street Address |
3313 PATRIOT CT |
| City | HERRIN |
| State | IL |
| Zip Code | 62948-3782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417362500 | Jonathon Serafini | Chiropractor | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2014-06-26 |
| 1235746348 | Ryan Power | Chiropractor | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2020-09-23 |
| 1366924599 | Taylor E Scott | Chiropractor | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2018-09-04 |
| 1114333705 | Ryan Ijames | Massage Therapist | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2014-07-03 |
| 1346656949 | Melanie Lentz | Massage Therapist | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2014-07-03 |
| 1477969061 | Angelique Petree | Massage Therapist | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| Find all providers in zip 62948 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114333705 | Ryan Ijames | Massage Therapist | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2014-07-03 |
| 1346656949 | Melanie Lentz | Massage Therapist | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2014-07-03 |
| 1477969061 | Angelique Petree | Massage Therapist | 3313 Patriot Ct, Herrin, IL 62948-3782 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| 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.