STEPHEN WAGNER (NPI# 1578981585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578981585 |
| Entity Type | Individual |
| Full Name | STEPHEN WAGNER |
| Practice Address |
101 Dudley St Providence RI 02905-2401 |
| Practice Telephone | 4012741122 |
| Mailing Telephone | 4012741122 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD17278 | RI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Dr, Hershey, PA 170332360 | 7175310004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533633 | Stephen C Wagner | Chiropractor | 5802 Se Powell Blvd, Portland, OR 97206-2826 | 2009-09-11 |
| 1154583805 | Stephen Faust Wagner | Medical Genetics | 714 S Birch Ave, Marshfield, WI 54449-3326 | 2008-06-25 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| 1114396694 | Stephen Lee Wagner | Psychologist | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2015-09-15 |
| 1508112061 | Stephen David Wagner | Internal Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2012-08-01 |
| 1003044173 | Stephen Thomas Wagner | Dentist | 12137 Elm St, Princess Anne, MD 21853-1358 | 2009-06-29 |
| 1063524387 | Stephen R Wagner | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-08-31 |
| 1255443412 | Stephen P Wagner | Ophthalmology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-08-31 |
| 1790710077 | Stephen Charles Wagner | Psychologist | 321 E Main St, Suite 205, Bozeman, MT 59715 | 2006-07-12 |
| 1871553644 | Stephen Anthony Wagner | Psychologist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2006-03-25 |
| Street Address |
101 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613244 | Martin Keszler | Pediatrics | 101 Dudley St, Providence, RI 02905-2401 | 2005-07-20 |
| 1326647959 | Deborah Ruth Shaffer | Advanced Practice Midwife | 101 Dudley St, Providence, RI 02905-2401 | 2020-10-24 |
| 1104449891 | Women & Infants Hospital of Rhode Island | Clinical Medical Laboratory | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-28 |
| 1235751959 | Katherine Mariah Crawford | Genetic Counselor, MS | 101 Dudley St, Providence, RI 02905-2401 | 2020-05-15 |
| 1265061089 | Cassie Laurine Hobbs | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2401 | 2020-04-03 |
| 1336776343 | Ogechukwu Francisca Uwanaka | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-27 |
| 1841827193 | Patricia Giglio Ayers | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-26 |
| 1205463783 | Alicia Marina Youssef | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-25 |
| 1912534330 | Alicia Esther Hersey | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-25 |
| 1932736220 | Allan Bo Huang | Student in an Organized Health Care Education/Training Program | 101 Dudley St, Providence, RI 02905-2499 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235638354 | Rachel Blay | Obstetrics & Gynecology | 112 Langdon St, Providence, RI 02904-1111 | 2018-02-04 |
| 1831537208 | Courtney Noonan | Obstetrics & Gynecology | 695 Eddy St Ste 21, Providence, RI 02903-4938 | 2013-06-07 |
| 1801161484 | Smgri, PC | Obstetrics & Gynecology | 10 Weybosset St, Providence, RI 02903-2818 | 2012-03-15 |
| 1134415029 | Lindsey Beffa | Obstetrics & Gynecology | 101 Dudley St Fl 4, Providence, RI 02905-2401 | 2011-06-20 |
| 1487846648 | Anh-tai Vinh Dang | Obstetrics & Gynecology | 18 Imperial Pl, Ste 2d, Providence, RI 02903-4641 | 2007-08-13 |
| 1639231673 | Cassandra Leigh Carberry | Obstetrics & Gynecology | 101 Plain St Ste 5, Providence, RI 02903-4829 | 2006-12-15 |
| 1316046063 | Michael Sisitsky | Obstetrics & Gynecology | 101 Dudley St., Women and Infants Hospital-division of Triage, Providence, RI 02905 | 2006-09-21 |
| 1326140120 | Ob-gyn Associates Inc | Obstetrics & Gynecology | 1 Randall Square, Ste 205, Providence, RI 02904 | 2006-09-02 |
| 1649290024 | Mary Catherine Derosa | Obstetrics & Gynecology | 148 West River Street, Suite 8, Providence, RI 02904-2609 | 2006-07-20 |
| 1750311528 | Sarah Fox | Obstetrics & Gynecology | 148 West River Street Suite 8, Providence, RI 02904-2615 | 2006-07-04 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.