SEAN M. WAGNER (NPI# 1497852370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497852370 |
| Entity Type | Individual |
| Full Name | SEAN M. WAGNER |
| Credential | LCP |
| Practice Address |
760 W D Ave Kingman KS 67068-1266 |
| Mailing Address |
419 E C Ave Kingman KS 67068-1622 |
| Practice Telephone | 6205323895 |
| Mailing Telephone | 6205322513 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0196 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 393288 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144740861 | Sean Wagner | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2017-06-23 |
| 1487715363 | Sean B Wagner | Chiropractor | 268 Lombard St, Thousand Oaks, CA 91360-8223 | 2006-12-13 |
| Street Address |
760 W D AVE |
| City | KINGMAN |
| State | KS |
| Zip Code | 67068-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225030703 | Shiela Kough | Social Worker | 760 W D Ave, Ste 1, Kingman, KS 67068-1266 | 2005-08-15 |
| 1114584802 | Jessica Blackwill | Registered Nurse | 760 W D Ave, Kingman, KS 67068-1222 | 2019-05-29 |
| 1376901033 | Elizabeth Cramer | Registered Nurse | 760 W D Ave, Kingman, KS 67068 | 2016-02-09 |
| 1992171821 | Robert Pierce | Counselor | 760 W D Ave, Ste 1, Kingman, KS 67068-1222 | 2015-08-14 |
| 1508253501 | Ninnescah Valley Health Systems Inc | Clinic/Center | 760 W D Ave, Kingman, KS 67068-1222 | 2015-04-17 |
| 1164822953 | Carol L Esau | Marriage & Family Therapist | 760 W D Ave, Ste 1, Kingman, KS 67068-1222 | 2014-08-28 |
| 1861623605 | Megan Ann Osner | Social Worker | 760 W D Ave, #1, Kingman, KS 67068-1266 | 2009-07-28 |
| 1902034614 | Robert Leroy Ullom | Family Medicine | 760 W D Ave, Kingman, KS 67068-1222 | 2009-07-01 |
| 1952323842 | Katherine Jean Cates Panakos | Family Medicine | 760 W D Ave, Kingman, KS 67068-1222 | 2006-07-23 |
| 1174550321 | Cherie Louise Morris | Family Medicine | 760 W D Ave, Kingman, KS 67068-1222 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701788 | Meredith Voran | Pharmacist | 211 N. Main, Kingman, KS 67068 | 2017-06-29 |
| 1770785362 | Kingman County Family Medicine,llc | Family Medicine | 132 West A Street, Kingman, KS 67068 | 2007-06-05 |
| 1952400558 | Rudolph Charles Sasina | Chiropractor | 108 N. Main St., Kingman, KS 67068 | 2006-09-21 |
| 1124083308 | Line Medical Inc | Radiology | 750 Avenue D West, Kingman, KS 67068 | 2006-04-19 |
| 1699746651 | Marsha Stineman Crna Ms Pa | Nurse Anesthetist, Certified Registered | 750 West D Ave, Kingman, KS 67068 | 2006-01-30 |
| 1538147236 | Richard E Davis | Dentist | 126 West Ave B, Kingman, KS 67068 | 2006-01-04 |
| 1609371269 | Amber Girrens | Dietitian, Registered | 750 W D Ave, Kingman, KS 67068 | 2018-03-27 |
| 1841418167 | Alliance Imaging Inc | Clinic/Center | 750 W D Ave, Kingman, KS 67068 | 2007-04-23 |
| 1821127044 | Ninnescah Valley Health Systems | Home Health | 750 West D Ave, Kingman, KS 67068 | 2007-03-05 |
| 1477650703 | Krishnakumar M Kotecha | Radiology | 750 W D Ave, Kingman, KS 67068 | 2006-09-20 |
| Find all providers in zip 67068 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785852 | Freudhawk Psychological Enterprises, LLC | Psychologist | 1307 E Iron Ave, Salina, KS 67401-3231 | 2020-06-23 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
| 1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
| 1174097042 | Heidi Marie Pontinen | Psychologist | 1901 E First St., Newton, KS 67114-0467 | 2019-01-14 |
| 1295232015 | Connection Therapy, LLC | Psychologist | 309 Happy Hollow St, Vermillion, KS 66544-8633 | 2018-04-09 |
| 1902304116 | Psychological Health Services, LLC | Psychologist | 626 Nebraska Ave, Holton, KS 66436-1462 | 2018-01-23 |
| 1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1861913659 | Janelle Jeffrey | Psychologist | 1013 W 8th St Ste A, Junction City, KS 66441-2281 | 2017-06-30 |
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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.