JOSEPH ROBERT WAGNER (NPI# 1578550612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578550612 |
| Entity Type | Individual |
| Full Name | JOSEPH ROBERT WAGNER |
| Credential | MD |
| Practice Address |
85 Seymour St Ste 416 Hartford CT 06106-5501 |
| Practice Telephone | 8609478500 |
| Practice Fax Number | 8605248643 |
| Mailing Telephone | 8609478500 |
| Mailing Fax Number | 8605248643 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 041512 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2020611 | 05 | |
| CT | HEALTH NEW ENGLAND | 32475 | 01 |
| CT | CIGNA | 3528766 009 | 01 |
| CT | 001415125 | 05 | |
| CT | HEALTH NET | 2V3291 | 01 |
| CT | OXFORD | P2913141 | 01 |
| CT | ANTHEM BCBS | 010041512CT01 | 01 |
| CT | AETNA | 3231961 | 01 |
| CT | WELLCARE | 227400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841027 | Joseph Wagner | Optometrist | 33 Wyoming Valley Mall, Wilkes Barre, PA 18702-6810 | 2016-10-11 |
| 1043478290 | Joseph Michael Wagner | Counselor | 3350 Ridgelake Dr # 87, Metairie, LA 70002-3836 | 2008-05-23 |
| 1528157401 | Joseph Lawrence Wagner IIi | Dentist | 4882 Brownsboro Rd, Louisville, KY 40207-2342 | 2006-10-11 |
| 1801853734 | Joseph Burrell Wagner | Chiropractor | 542 N Ridgewood Ave, Daytona Beach, FL 32114-2170 | 2006-04-26 |
| 1609865559 | Joseph E. Wagner | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2005-10-13 |
| 1336499888 | Joseph F Wagner | Nurse Practitioner | 252 Mchenry St, Burlington, WI 53105-1838 | 2012-09-12 |
| 1134322639 | Joseph Herman Wagner | Speech-Language Pathologist | 9445 Litzsinger Rd, Saint Louis, MO 63144-2113 | 2007-06-11 |
| Street Address |
85 SEYMOUR ST STE 416 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586471 | Daniel Bruce Fram | Internal Medicine | 85 Seymour St, Ste 821, Hartford, CT 06106 | 2005-05-27 |
| 1255841714 | Danielle Montufar Gleason | Psychologist | 85 Seymour St, Hartford, CT 06106-5501 | 2017-10-10 |
| 1164946760 | Christopher John Krupa-schayer | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2017-07-26 |
| 1902349251 | Courtney Leigh Davis | Nurse Practitioner | 85 Seymour St, Hartford, CT 06106-5501 | 2016-11-18 |
| 1669927703 | Hartford Healthcare Retail Pharmacy | Pharmacy | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-08-18 |
| 1013360254 | Praveen Jayapal | Student in an Organized Health Care Education/Training Program | 85 Seymour St, Hartford, CT 06106-5501 | 2016-07-22 |
| 1457702193 | Kevin Rooney | Physician Assistant | 85 Seymour St, Suite 409, Hartford, CT 06106-5501 | 2016-06-23 |
| 1922455211 | Molly Nathanson | Midwife | 85 Seymour St, Suite 1019, Hartford, CT 06106 | 2016-05-17 |
| 1386090124 | Allyson Rossi | Occupational Therapist | 85 Seymour St, Suite 604, Hartford, CT 06106-5501 | 2016-05-11 |
| 1639539554 | Daniel Gleason | Pharmacist | 85 Seymour St, Suite 117, Hartford, CT 06106-5501 | 2016-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336534312 | David Thomas Ahlborn | Urology | 80 Seymour St Dept Of, Hartford, CT 06106-3315 | 2015-04-06 |
| 1003158106 | Christine White Cumarasamy | Urology | Hartford Hospital Urology Dept, 79 Retreat Avenue, Hartford, CT 06106 | 2013-03-27 |
| 1972527158 | Richard Todd Kershen | Urology | 85 Seymour Street, Suite 416, Hhmg Urology Institute, Hartford, CT 06106 | 2006-07-27 |
| 1427045699 | Rafael Wurzel | Urology | 85 Seymour St Ste 416, Hartford Healthcare Medical Group, Hartford, CT 06106-5523 | 2005-10-04 |
| 1568851715 | Mark R Silk, M.d., P.C. | Urology | 1000 Asylum Ave, Suite 2101, Hartford, CT 06105-1770 | 2015-01-12 |
| 1457647281 | Gerard Pregenzer Jr. | Urology | 19 Woodland St, Suite 23, Hartford, CT 06105-2372 | 2011-06-20 |
| 1922326628 | Abram Cooper D'amato | Urology | 80 Seymour St, Hartford, CT 06102-8000 | 2010-05-06 |
| 1982846457 | Jared M Bieniek | Urology | 85 Seymour St, Suite 416, Hartford, CT 06106-5501 | 2009-03-30 |
| 1528219219 | Anoop M Meraney | Urology | 85 Seymour St, Suite 416, Hartford, CT 06106-5501 | 2008-10-01 |
| 1922281955 | Ohio County Hospital Corporation | Urology | 1215 Old Main St, Suite A, Hartford, KY 42347-1619 | 2007-12-13 |
| Find all providers in HARTFORD | ||||
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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.