RACHAEL WAGNER (NPI# 1487162822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487162822 |
| Entity Type | Individual |
| Full Name | RACHAEL WAGNER |
| Credential | PA |
| Practice Address |
1650 Ramblewood Dr East Lansing MI 48823-7396 |
| Practice Telephone | 5173321200 |
| Practice Fax Number | 5173517122 |
| Mailing Telephone | 5173321200 |
| Mailing Fax Number | 5173517122 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008516 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1650 RAMBLEWOOD DR |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-7396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073579512 | John F Walling Jr. | Internal Medicine | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2006-04-24 |
| 1437664281 | Brooke Allie Janke | Physician Assistant | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2017-12-01 |
| 1114390036 | Greater Lansing Anesthesia Services, PC | Anesthesiology | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2015-11-02 |
| 1629401302 | Elizabeth A Gurecki | Physician Assistant | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2013-08-16 |
| 1174963490 | Scott E Zeilstra | Physician Assistant | 1650 Ramblewood Dr, Suite 100, East Lansing, MI 48823-7396 | 2013-07-01 |
| 1396041067 | Radoslav Coleski | Internal Medicine | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2011-01-28 |
| 1528291986 | Donald David Laird Jr. | Physician Assistant | 1650 Ramblewood Dr, Ste 100, East Lansing, MI 48823-7396 | 2009-09-01 |
| 1225151194 | Oussama Al Sawas | Internal Medicine | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2007-04-07 |
| 1538118328 | David Wiedemer | Internal Medicine | 1650 Ramblewood Dr, Ste 100, East Lansing, MI 48823-7396 | 2006-05-09 |
| 1568411510 | Albert B Ross | Internal Medicine | 1650 Ramblewood Dr, Ste 100, East Lansing, MI 48823-7396 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093927980 | Bonnie J Seaks | Physician Assistant | E Circle Dr Olin Health Center, University Physicians Office, East Lansing, MI 48824 | 2007-05-04 |
| 1942300660 | Lydia A Huber | Physician Assistant | 463 East Circle Drive, East Lansing, MI 48824-1037 | 2006-09-23 |
| 1629082482 | Maria E Reed | Physician Assistant | 1650 Ramblewood Dr Ste 100, East Lansing, MI 48823-7396 | 2006-07-28 |
| 1306870126 | Amy L. Worthing | Physician Assistant | 2900 Hannah Blvd Ste 212, East Lansing, MI 48823-5382 | 2006-07-10 |
| 1932199262 | Elizabeth C Malsheske | Physician Assistant | 463 East Circle Dr, East Lansing, MI 48824-7505 | 2005-10-27 |
| 1003422767 | Emily L Griffore | Physician Assistant | 1500 Abbot Rd Ste 400, East Lansing, MI 48823-1956 | 2020-09-18 |
| 1437664281 | Brooke Allie Janke | Physician Assistant | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2017-12-01 |
| 1972051019 | Lisa Ryan | Physician Assistant | 411 W Lake Lansing Rd Ste C120, East Lansing, MI 48823-8483 | 2016-09-19 |
| 1518336213 | Katelyn Murphy | Physician Assistant | 1575 Ramblewood Dr, Suite 200, East Lansing, MI 48823-6384 | 2015-09-23 |
| 1952779571 | Amy Nostrant | Physician Assistant | 411 W Lake Lansing Rd, Ste C - 120, East Lansing, MI 48823-8445 | 2015-09-14 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.