SAMANTHA LOUISE WAGNER (NPI# 1528595394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528595394 |
| Entity Type | Individual |
| Full Name | SAMANTHA LOUISE WAGNER |
| Credential | M.D. |
| Practice Address |
705 Riley Hospital Dr Indianapolis IN 46202-5109 |
| Practice Telephone | 3179444034 |
| Mailing Telephone | 3179444034 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770943078 | Samantha Ann Wagner | Specialist/Technologist | 170 Athletic Ctr, Stillwater, OK 74078-0001 | 2016-02-29 |
| 1083245781 | Samantha Nicole Wagner | Behavior Technician | 1563 Kingsley Ave Ste 103, Orange Park, FL 32073-4503 | 2020-01-31 |
| 1538631114 | Samantha Elizabeth Wagner | Nurse Practitioner | 209 9th St, Rockford, IL 61104-2235 | 2018-12-20 |
| 1689151391 | Samantha Wagner | Pharmacist | 410 W 10th Ave, 368 Doan Hall, Columbus, OH 43210 | 2018-07-25 |
| 1124524608 | Samantha Wagner | Social Worker | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-04-03 |
| 1013415199 | Samantha Brooke Wagner | Counselor | 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 | 2018-01-24 |
| 1598272429 | Samantha Rose Wagner | Social Worker | 8261 Market St, Boardman, OH 44512-6254 | 2017-12-31 |
| 1508311622 | Samantha M Wagner | Registered Nurse | 191 N Main St, Wellsville, NY 14895-1150 | 2016-08-18 |
| 1134559966 | Samantha Wagner | Behavioral Analyst | 16782 Von Karman Ave Ste 11, Irvine, CA 92606 | 2013-11-14 |
| 1669801791 | Samantha Wagner | Social Worker | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2013-11-08 |
| Street Address |
705 RILEY HOSPITAL DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095308 | Laquia Vinson | Dentist | 705 Riley Hospital Dr, Suite 4205, Indianapolis, IN 46202-5109 | 2005-06-30 |
| 1801403928 | Morgan Lewis | Nurse Anesthetist, Certified Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-24 |
| 1063028009 | Maham Fatima | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-16 |
| 1871105205 | Rosemary Bland | Nurse Practitioner | 705 Riley Hospital Dr, Ri 1134, Indianapolis, IN 46202-5109 | 2020-08-18 |
| 1720699226 | Nancy Marie Dalton | Physician Assistant | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-08-10 |
| 1205446325 | Nadine Al Homsi | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-08-04 |
| 1477162808 | Julia Lamotte | Psychologist | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-31 |
| 1154930626 | Anna Himes | Nurse Practitioner | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1750990230 | Victoria H Klee | Genetic Counselor, MS | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1134738677 | Jenna Pogorzelski | Dietitian, Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938197 | Christopher Rodney West | Student in an Organized Health Care Education/Training Program | 8616 Burrell Ln, Indianapolis, IN 46256-6306 | 2020-10-05 |
| 1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1457963563 | Janelle M Bonitati | Student in an Organized Health Care Education/Training Program | 914 E 50th St, Indianapolis, IN 46205-1112 | 2020-08-19 |
| 1629688718 | Krisha Anne Retherford | Student in an Organized Health Care Education/Training Program | 4548 Sundance Trl, Indianapolis, IN 46239-9716 | 2020-08-04 |
| 1740806132 | Vanessa Renee Ianson | Student in an Organized Health Care Education/Training Program | 325 Bangor Dr, Indianapolis, IN 46227-2423 | 2020-06-22 |
| 1881219475 | Stephanie Scalf | Student in an Organized Health Care Education/Training Program | 4912 E 69th St, Indianapolis, IN 46220-3826 | 2020-06-10 |
| 1831719863 | Austin Martin Henderson | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave Dept Of, Indianapolis, IN 46202-2213 | 2020-04-20 |
| 1194344572 | Kaitlyn Edwards | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr # 5837, Indianapolis, IN 46202-5109 | 2020-04-15 |
| 1700405347 | Russell Reed | Student in an Organized Health Care Education/Training Program | 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 | 2020-04-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.