DR. KIRSTEN WAGNER (NPI# 1477948511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477948511 |
| Entity Type | Individual |
| Full Name | DR. KIRSTEN WAGNER |
| Credential | M.D. |
| Practice Address |
4151 Foothill Rd Santa Barbara CA 93110-1110 |
| Mailing Address |
470 S Patterson Ave Santa Barbara CA 93111-2404 |
| Practice Telephone | 8056817500 |
| Practice Fax Number | 8056811768 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2019-00782 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL DEGREE | A168573 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Irving St Nw, Suite 1a-1, Washington, DC 200103017 | 2028773937 | |
| Medical Center Blvd., Winston Salem, NC 271570001 | 3367161332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114390242 | Kirsten Wagner | Student in an Organized Health Care Education/Training Program | 10 Lightning Trl, Fairfield, PA 17320-9748 | 2015-11-11 |
| 1518925999 | Kirsten E Wagner | Psychiatry & Neurology | 6067 Piney Grove Way, Gainesville, VA 20155-6671 | 2006-05-03 |
| 1023507472 | Kirsten Suzanne Wagner | Speech-Language Pathologist | 3035 Wooster Rd, Rocky River, OH 44116 | 2018-05-01 |
| 1275648149 | Kirsten U Wagner | Nurse Practitioner | 4314 W Slauson Ave, Los Angeles, CA 90043 | 2006-08-20 |
| Street Address |
4151 FOOTHILL RD |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93110-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124098991 | Lesa Jane Morby | Nurse Anesthetist, Certified Registered | 4151 Foothill Rd, Santa Barbara, CA 93110 | 2006-01-25 |
| 1649735044 | Charles Henry Hunt IIi | Audiologist | 4151 Foothill Rd, Santa Barbara, CA 93110 | 2019-02-10 |
| 1407309511 | Lillian Francis Donner | Physical Therapist | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2016-07-26 |
| 1033538269 | Ashley Allison Dunn | Otolaryngology | 4151 Foothill Rd, Santa Barbara, CA 93110 | 2014-04-15 |
| 1144648015 | Sansum Clinic | Clinic/Center | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2014-03-28 |
| 1124451240 | Joy Buechler | Nurse Practitioner | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2013-08-12 |
| 1538504709 | Cyrus Sircar | Podiatrist | 4151 Foothill Rd, Santa Barbara, CA 93110 | 2013-05-01 |
| 1861835852 | Ron Golan | Urology | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2013-04-10 |
| 1912268996 | Mica Yael Bergman | Specialist | 4151 Foothill Rd, Santa Barbara, CA 93110 | 2012-06-06 |
| 1386942217 | Justin Thomas Meyer | Podiatrist | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2011-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287431 | Rosanne M. Marquis | Technician | 4131 Creviente Drive, Santa Barbara, CA 93110 | 2019-10-22 |
| 1467961722 | Chris Latham | Nutritionist | 4760 Amarosa Street, Santa Barbara, CA 93110 | 2017-09-29 |
| 1770030330 | Laurence Seguin-brault | Social Worker | 66 South Anttonio Road, Santa Barbara, CA 93110 | 2016-09-01 |
| 1891142626 | Patricia Hurtado | Peer Specialist | 66 S San Antonio Road, Santa Barbara, CA 93110 | 2016-05-23 |
| 1023494945 | Santa Barbara County Alcogol, Drug & Mental Health Services | Social Worker | 66 S. San Antonio Road, Santa Barbara, CA 93110 | 2015-08-03 |
| 1225382088 | Terry Gostow | Speech-Language Pathologist | 333 Old Mill Road, #314, Santa Barbara, CA 93110 | 2012-11-01 |
| 1184914020 | Matt Traube | Marriage & Family Therapist | 3953 Carol Ave, Santa Barbara, CA 93110 | 2011-04-12 |
| 1679715270 | Abundant Care IIi | Assisted Living Facility | 4589 Anhay Dr, Santa Barbara, CA 93110 | 2009-03-27 |
| 1508052333 | Chadler R Burgoyne | Orthopaedic Surgery | Sansum Orthopedic Clinic, 4151 Foothill Rd - Bldg A, Santa Barbara, CA 93110 | 2007-09-14 |
| 1689878894 | Jill Louise Daugherty | Counselor | Admhs, Santa Barbara, CA 93110 | 2007-06-12 |
| Find all providers in zip 93110 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
| 1861774416 | Harlan Theodore Thoreson | Ophthalmology | 590 Freehaven Dr, Santa Barbara, CA 93108 | 2011-09-09 |
| 1033497623 | Steven Allen Moel | Ophthalmology | 167 Vista Del Mar Dr, Santa Barbara, CA 93109-1049 | 2011-07-29 |
| 1679889109 | Barry Richmond Williams | Ophthalmology | 5621 W Camino Cielo, Santa Barbara, CA 93105-9706 | 2010-08-21 |
| 1932396421 | Associated Eye Specialists Medical Group Inc | Ophthalmology | 5333 Hollister Ave Ste 123, Santa Barbara, CA 93111-3315 | 2007-09-27 |
| 1669670337 | Frank Meronk Jr. | Ophthalmology | 3463 State St, #530, Santa Barbara, CA 93105-2662 | 2007-07-04 |
| 1306908223 | Steven D Zelko | Ophthalmology | 1933 Cliff Dr Ste 29, Santa Barbara, CA 93109-1589 | 2006-12-15 |
| 1003920372 | Wilson Chia-siung Wu | Ophthalmology | 3892 State St, Ste 100, Santa Barbara, CA 93105-5608 | 2006-08-17 |
| 1396756847 | Michael J Paveloff | Ophthalmology | 1933 Cliff Drive, 29, Santa Barbara, CA 93109 | 2006-08-10 |
| 1922035559 | Robert Anthony Kolarczyk | Ophthalmology | 1801 State St, Suite C, Santa Barbara, CA 93101-2482 | 2006-06-27 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93110 |
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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.