ERIC R WAGNER (NPI# 1619263241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619263241 |
| Entity Type | Individual |
| Full Name | ERIC R WAGNER |
| Credential | MD |
| Practice Address |
59 Executive Park S Ste 2000 Atlanta GA 30329-2208 |
| Practice Telephone | 4047787249 |
| Mailing Telephone | 4047787249 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 269905 | MA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 55500 | MN | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
081317 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 Francis St, Boston, MA 021156110 | 6177325500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316474083 | Eric Jameson Wagner | Student in an Organized Health Care Education/Training Program | 1331 Moursund Ave., Bldg. G Rm 115-118, Houston, TX 77030-5389 | 2017-05-12 |
| 1326009143 | Eric John Wagner | Dentist | 112 2nd Ave Nw, Hampton, IA 50441-1724 | 2006-03-31 |
| 1083222905 | Eric Wagner | Massage Therapist | 2462 W 3rd St, Santa Rosa, CA 95401-6425 | 2020-07-16 |
| 1306312012 | Eric Wagner | Behavior Technician | 2818 N Ralph Ave, Tucson, AZ 85712-1635 | 2018-10-19 |
| 1306358445 | Eric David Wagner | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-10-30 |
| 1487043196 | Eric Wagner | Licensed Practical Nurse | 526 W Main St, Sparta, WI 54656-2146 | 2015-01-19 |
| 1043563323 | Eric Michael Wagner | Pharmacist | 110 Southside Blvd, Dillon, MT 59725-3536 | 2012-10-23 |
| 1528319365 | Eric Bruce Wagner | Pharmacist | 330 Lebby St, Pelzer, SC 29669-1758 | 2012-09-19 |
| 1770856106 | Eric Martin Wagner | Physician Assistant | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2012-02-15 |
| 1477875078 | Eric N Wagner | Hearing Instrument Specialist | 218 W Market St, Ste7, Charlottesville, VA 22902-5061 | 2010-02-23 |
| Street Address |
59 EXECUTIVE PARK S STE 2000 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366734410 | Erika Lynn Templeton | Orthopaedic Surgery | 980 Johnson Ferry Rd Ste 1020, Atlanta, GA 30342-1609 | 2011-05-09 |
| 1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
| 1205857307 | Jim W Roderique | Orthopaedic Surgery | 955 Spring St Nw, Atlanta, GA 30309-3821 | 2006-07-22 |
| 1982620456 | John Seiler IIi | Orthopaedic Surgery | 2061 Peachtree Rd Ne Ste 500, Atlanta, GA 30309-1446 | 2006-07-15 |
| 1811913643 | S Houston Payne Jr. | Orthopaedic Surgery | 2061 Peachtree Rd. Ne, Suite 500, Atlanta, GA 30309-1446 | 2006-07-14 |
| 1669406591 | Georgia Hand, Shoulder and Elbow, P.C. | Orthopaedic Surgery | 1819 Peachtree Rd Ne, Suite 425, Atlanta, GA 30309-1848 | 2006-07-10 |
| 1851756506 | Orthoatlanta, LLC | Orthopaedic Surgery | 1800 Howell Mill Rd Nw, Suite 200, Atlanta, GA 30318-2538 | 2015-12-23 |
| 1114317062 | Piedmont Orthopedics, LLC | Orthopaedic Surgery | 105 Collier Rd Nw Ste 2000, Atlanta, GA 30309-1734 | 2015-01-30 |
| 1912264755 | Bryan Joel Sirmon | Orthopaedic Surgery | 2061 Peachtree Rd Ne Ste 500, Atlanta, GA 30309-1446 | 2012-04-18 |
| 1144531211 | Clifton Gregrory Meals | Orthopaedic Surgery | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2010-06-23 |
| Find all providers in ATLANTA | ||||
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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.