DR. ELIZABETH ANN WAGNER (NPI# 1659545184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659545184 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH ANN WAGNER |
| Credential | DMD |
| Practice Address |
100 E Lehigh Ave Philadelphia PA 19125-1012 |
| Mailing Address |
1003 Hancock Ct Deptford NJ 08096-5122 |
| Practice Telephone | 2157073613 |
| Mailing Telephone | 2158373658 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS036569 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215290465 | Elizabeth Ann Wagner | Music Therapist | 200 E. Curry Rd, 307c, Tempe, AZ 85281 | 2012-06-22 |
| 1104095306 | Elizabeth Forsythe Wagner | Physical Therapist | 11590 W Bernardo Ct Ste 100, San Diego, CA 92127-1624 | 2008-02-21 |
| 1134302565 | Elizabeth Wagner | Nutritionist | 1224 10th St Ste 207, Coronado, CA 92118-3420 | 2007-12-07 |
| 1306062922 | Elizabeth Wagner | Counselor | 105 N Fair St, Champaign, IL 61821 | 2007-04-18 |
| 1285270512 | Elizabeth Clair Wagner | Behavior Technician | 8815 S Tacoma Way Ste 122, Lakewood, WA 98499-7011 | 2019-11-21 |
| 1174096481 | Elizabeth Wagner | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-01-09 |
| 1689158297 | Elizabeth Bramlish Wagner | Social Worker | 299 Cramer Creek Ct, Dublin, OH 43017-2586 | 2018-09-19 |
| 1003392044 | Elizabeth Bailey Wagner | Occupational Therapist | 7161 W Q Ave, Kalamazoo, MI 49009-5951 | 2018-07-12 |
| 1831629336 | Elizabeth Stanton Wagner | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-15 |
| 1386092336 | Elizabeth Ann Wagner | Nurse Practitioner | 222 S Woods Mill Rd Ste 500n, Chesterfield, MO 63017-3640 | 2016-06-01 |
| Street Address |
100 E LEHIGH AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774612 | Joel Stuart Shuster | Pharmacist | 100 E Lehigh Ave, Room 325, Philadelphia, PA 19125-1000 | 2005-07-20 |
| 1598382194 | Fan Zhang | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-30 |
| 1063039832 | Francesca Antonina Arana | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-28 |
| 1386261238 | Matthew Lu | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-26 |
| 1215554282 | Isabel Stillman | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-25 |
| 1407473408 | Poorna Sreekumar | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-25 |
| 1285251280 | Yunichel Joo | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-25 |
| 1235755331 | Jessica Benson | Student in an Organized Health Care Education/Training Program | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-24 |
| 1093331043 | Marianela Rosales Gerpe | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-24 |
| 1700402765 | Amber Navy | Psychiatry & Neurology | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1962942771 | American Management Group | Dentist | 3900 City Avenue Apt W1101, Philadelphia, PA 19131 | 2017-02-27 |
| 1457771545 | Diana Lin | Dentist | 2630 Holme Ave Ste 103, Philadelphia, PA 19152-3004 | 2014-04-16 |
| 1245554385 | Bryant Jones | Dentist | 8957 Roosevelt Blvd, Philadelphia, PA 19152-1312 | 2010-03-18 |
| 1962601773 | Daniel J Bowser | Dentist | 2327 Cottman Ave, Philadelphia, PA 19149-1008 | 2007-07-12 |
| 1396969036 | Franklyn Scott, D.d.s., P.C. | Dentist | 900 East Wadsworth Avenue, Philadelphia, PA 19150 | 2007-04-12 |
| 1073641148 | Delaware Valley Maxillofacial & Oral Surgery LLC | Dentist | 2301 E Allegheny Ave Ste 206, Philadelphia, PA 19134-4427 | 2007-03-01 |
| 1598805608 | Franklyn Scott | Dentist | 900 E Wadsworth Ave, Philadelphia, PA 19150-3417 | 2007-02-07 |
| 1881796985 | Ramin Bahram | Dentist | 2546 S Broad St, Philadelphia, PA 19145-4638 | 2006-09-01 |
| 1255381513 | Michael T Dachowski | Dentist | 2630 Holme Avenue, Suite 103, Philadelphia, PA 19152-1912 | 2006-05-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19125 |
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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.