MR. CALVIN R WAGNER JR (NPI# 1629249271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629249271 |
| Entity Type | Individual |
| Full Name | MR. CALVIN R WAGNER JR |
| Credential | LMT |
| Practice Address |
17 N Champion St Youngstown OH 44503-1602 |
| Practice Telephone | 3304809362 |
| Practice Fax Number | 3304809407 |
| Mailing Telephone | 3304809362 |
| Mailing Fax Number | 3304809407 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
17 N CHAMPION ST |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44503-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093986648 | James M Daley | Specialist | 17 N Champion St, Youngstown, OH 44503-1602 | 2008-03-21 |
| 1831688456 | Meri Joanna Surdoval-fetkovich | Health Educator | 17 N Champion St, Youngstown, OH 44503-1636 | 2018-05-09 |
| 1114416294 | Kathleen Rae Hevener | Health Educator | 17 N Champion St, Youngstown, OH 44503-1636 | 2018-05-04 |
| 1205325495 | Loretta Ann Pflug | Health Educator | 17 N Champion St, Youngstown, OH 44503-1636 | 2018-05-03 |
| 1699916270 | Danetta I Claybrook | Specialist | 17 N Champion St, Youngstown, OH 44503-1602 | 2009-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205625 | Anna Marie Barksdale | Social Worker | 25 W. Rayen Ave, Youngstown, OH 44503 | 2017-06-13 |
| 1851843064 | Janine Whitney Turocy | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503 | 2016-11-04 |
| 1508396888 | Roni Renee Robinson | Case Manager/Care Coordinator | 25 W Rayen Ave, Youngstown, OH 44503-1000 | 2017-06-19 |
| 1548786239 | Joy L Smith | Case Manager/Care Coordinator | 25 W Rayen Ave, Youngstown, OH 44503-1000 | 2017-08-15 |
| 1265874267 | Gerald Wasko Jr. | Family Medicine | 330 Wick Ave, Youngstown, OH 44503-1002 | 2013-07-19 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1457556615 | Youngstown City Schools | Local Education Agency (LEA) | 20 W Wood St, Youngstown, OH 44503-1028 | 2007-06-18 |
| 1669928479 | James Earl Douglass IIi | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-31 |
| 1821544917 | Mary Crock | Audiologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-29 |
| 1982159992 | Kirsten Cook | Speech-Language Pathologist | 20 W Wood St, Youngstown, OH 44503-1028 | 2016-08-19 |
| Find all providers in zip 44503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457612525 | Melissa M. Ruta | Specialist | 461 Riverview Dr., Youngstown, NY 14174 | 2012-06-05 |
| 1093986648 | James M Daley | Specialist | 17 N Champion St, Youngstown, OH 44503-1602 | 2008-03-21 |
| 1437177979 | Joel S Enriquez | Specialist | 5500 Market St Ste 119, Youngstown, OH 44512-2616 | 2006-07-17 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| 1467420919 | Anil Choudary Nalluri | Specialist | 5500 Market St, Suite 128, Youngstown, OH 44512-2601 | 2006-03-10 |
| 1215916069 | James Phillip D'apolito | Specialist | 4531 Belmont Ave, Youngstown, OH 44505-1051 | 2006-01-11 |
| 1346234044 | Associates In Anesthesiology, Inc | Specialist | 3622 Belmont Ave, Suite 1, Youngstown, OH 44505-1450 | 2005-09-08 |
| 1205838497 | Pediatric Imaging Associates, LLC | Specialist | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2005-06-01 |
| 1568464857 | Michael J Miladore | Specialist | 1335 Belmont Ave, Youngstown, OH 44504-1185 | 2005-06-01 |
| 1285637918 | Chander M. Kohli M.d., Inc. | Specialist | 540 Parmalee Ave, Ste 310, Youngstown, OH 44510-1605 | 2005-05-27 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44503 |
Please comment or provide details below to improve the information on MR. CALVIN R WAGNER JR.
| 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.