WILLIAM A WAGNER (NPI# 1497967947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497967947 |
| Entity Type | Individual |
| Full Name | WILLIAM A WAGNER |
| Credential | D.O. |
| Practice Address |
2317 Elmwood Dr Se Grand Rapids MI 49506-4055 |
| Practice Telephone | 1616245380 |
| Mailing Telephone | 1616245380 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101003991 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594963 | William Douglas Wagner | Counselor | 2139 Palm Ct, North Port, FL 34287-5724 | 2011-10-11 |
| 1396882130 | William L Wagner | Chiropractor | 303 W Birnie St, Gaffney, SC 29341-2307 | 2007-01-31 |
| 1760535587 | William Scott Wagner | Dentist | 1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493 | 2007-01-18 |
| 1477603702 | William Claude Wagner | Dentist | 211 N Prairie St, Bloomington, IL 61701 | 2007-01-11 |
| 1255419511 | William Wagner | Family Medicine | 6214 Johnson St, Hollywood, FL 33024-5932 | 2006-11-02 |
| 1558384875 | William Wagner | Nurse Anesthetist, Certified Registered | 1710 Cheyenne Dr, Hillsborough, NC 27278-9500 | 2006-07-26 |
| 1871528455 | William Frederick Wagner | Anesthesiology | 1506 N Fant St, Anderson, SC 29621-4708 | 2006-07-11 |
| 1639130446 | William John Wagner | Family Medicine | 531 Broad St, Montoursville, PA 17754-2338 | 2006-03-31 |
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| 1376519587 | William J Wagner | Emergency Medicine | N7426 County Road J, Plymouth, WI 53073-2741 | 2006-02-27 |
| Street Address |
2317 ELMWOOD DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1023406188 | Elite Health, Plc | General Practice | 310 Fulton St E, Suite A, Grand Rapids, MI 49503-4302 | 2014-12-24 |
| 1275712887 | Dr. Rafael Torres PC | General Practice | 6460 28th St Se, Grand Rapids, MI 49546-6918 | 2007-10-31 |
| 1952479503 | Emergency Physicians Inc PC | General Practice | 324 Forest Hill Ave Se, Grand Rapids, MI 49546-2316 | 2006-12-01 |
| 1124123476 | Lourens J Willekes | General Practice | 751 Lafeyette Nw, Grand Rapids, MI 49503 | 2006-09-13 |
| 1568401032 | Sheila Marie Vanlowe-prince | General Practice | 847 Parchment Dr Se Ste 120, Grand Rapids, MI 49546-2377 | 2006-06-06 |
| 1114920550 | Emergency Physicians Inc PC | General Practice | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2005-05-31 |
| 1306235569 | Kelsey Sturgis | General Practice | 743 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2015-01-12 |
| 1619147493 | Joanne Marie Grzeszak Do PC | General Practice | 806 Alger St Se, Grand Rapids, MI 49507-3803 | 2008-03-07 |
| 1164611836 | Gary W Bailey Do PC | General Practice | 2525 Burton St Se, Grand Rapids, MI 49546 | 2007-10-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on WILLIAM A WAGNER.
| 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.