DAVID B. WAGAR (NPI# 1528051000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528051000 |
| Entity Type | Individual |
| Full Name | DAVID B. WAGAR |
| Credential | MD |
| Practice Address |
16 Degrandpre Way Suite 600 Plattsburgh NY 12901 |
| Mailing Address |
Po Box 2007 East Syracuse NY 13057-4507 |
| Practice Telephone | 5185630490 |
| Practice Fax Number | 5185630707 |
| Mailing Telephone | 3153625285 |
| Mailing Fax Number | 5185630707 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
195394 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356306187 | David A. Wagar | Obstetrics & Gynecology | 2301 Research Blvd, Suite 215, Rockville, MD 20850-3204 | 2006-04-17 |
| Street Address |
16 DEGRANDPRE WAY SUITE 600 |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932618824 | Anthony Michael Montesano | Speech-Language Pathologist | 16 Degrandpre Way, Plattsburgh, NY 12901-6451 | 2017-09-25 |
| 1144774324 | Brittany Dubay | Specialist | 16 Degrandpre Way, Plattsburgh, NY 12901-6451 | 2016-08-05 |
| 1225407802 | Sandra Trombley | Specialist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-09-24 |
| 1346618204 | Amanda Smith | Specialist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-09-09 |
| 1720455520 | Meredith Torrance | Specialist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-08-27 |
| 1518343854 | Danielle Swart | Student in an Organized Health Care Education/Training Program | 16 Degrandpre Way, Plattsburgh, NY 12901-6451 | 2015-08-10 |
| 1194119735 | Pamela Carroll | Developmental Therapist | 16 Degrandpre Way, Suite 200, Plattsburgh, NY 12901-6451 | 2015-03-21 |
| 1164850053 | Lake City Primary Care Pllc | Internal Medicine | 16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901-6451 | 2013-10-31 |
| 1720368418 | Laura C Oliva | Dietitian, Registered | 16 Degrandpre Way, Suite 100, Plattsburgh, NY 12901-6451 | 2011-08-25 |
| 1881749067 | Richard Webber | Internal Medicine | 16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901-6451 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336390129 | Robert T. Buran | Radiology | 12 Lexington Ave, Plattsburgh, NY 12901 | 2008-10-10 |
| 1437172814 | Charles T De Lise | Radiology | 762 State Route 3, Suite 14, Plattsburgh, NY 12901-7472 | 2006-07-26 |
| 1336106046 | Lori A Sheporaitis | Radiology | 762 Route 3, Suite 14, Plattsburgh, NY 12901-7472 | 2006-04-27 |
| 1134186703 | James Scott Kenney | Radiology | 16 Degrandpre Way Ste 600, Plattsburgh, NY 12901-6454 | 2006-04-27 |
| 1992261887 | Sergio Apuzzo | Radiology | 16 Degrandpre Way Ste 600, Plattsburgh, NY 12901-6454 | 2019-02-15 |
| 1265925630 | Laurent Christophe Gilloteaux | Radiology | 16 Degrandpre Way Ste 600, Plattsburgh, NY 12901-6454 | 2018-06-11 |
| 1205233871 | Afterhours Imaging, LLC | Radiology | 675 State Route 3, Suite 105, Plattsburgh, NY 12901-6562 | 2014-11-26 |
| 1710397567 | Michal Nowak | Radiology | 16 Degrandpre Way Ste 600, Plattsburgh, NY 12901-6454 | 2014-05-02 |
| 1861757064 | Vincent Persaud | Radiology | 16 Degrandpre Way Ste 600, Plattsburgh, NY 12901-6454 | 2012-07-12 |
| 1235499948 | Timothy John Donohue | Radiology | 16 Degrandpre Way Ste 600, Plattsburgh, NY 12901-6454 | 2012-05-29 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.