TERRY JOHN WAGNER


Address: 5655 Hudson Dr Ste 303, Hudson, OH 44236-4454
Phone: 3308004800

TERRY JOHN WAGNER (NPI# 1679574834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679574834
Entity Type Individual
Full Name TERRY JOHN WAGNER
Credential D.O.
Practice Address 5655 Hudson Dr Ste 303
Hudson
OH 44236-4454
Practice Telephone 3308004800
Practice Fax Number 3306533007
Mailing Telephone 3308004800
Mailing Fax Number 3306533007
Enumeration Date 2005-08-09
Last Update Date 2020-02-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 34006428 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH RAILROAD MEDICARE 0801451153 01
OH 2041543 05

Other Providers TERRY WAGNER

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1386852937 Terry J Wagner Massage Therapist 2615 W Casino Rd, Suite 1a, Everett, WA 98204-2124 2007-05-18
1134247802 Terry Wagner Preventive Medicine 9515 E 51st St, Suite G & F, Tulsa, OK 74145-9053 2007-03-27

Office Location

Street Address 5655 HUDSON DR STE 303
City HUDSON
State OH
Zip Code 44236-4454

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881195477 Amber Sommer Dietitian, Registered 1742 Georgetown Road, Hudson, OH 44236 2018-02-28
1184149585 Elena A Berman Technician 2654 Blue Heron Dr, Hudson, OH 44236 2017-08-07
1114390671 Costco Wholesale Corporation Pharmacy 6720 Bass Pro Rd, Boston Heights, OH 44236 2015-11-05
1972975803 Costco Wholesale Corporation Hearing Aid Equipment 6720 Bass Pro Drive, Boston Heights, OH 44236 2015-10-30
1841695624 The Hair Specialists Anaplastologist 180 W. Streetsboro St, Hudson, OH 44236 2014-10-23
1326441163 Haley E Dunn Counselor 10 W. Streetsboro St., 107, Hudson, OH 44236 2014-10-08
1538578000 Hudson Elms Skilled Nursing Facility 563 West Streetsboro Street, Hudson, OH 44236 2014-08-08
1316375215 Mary Meghan Folino Hylton Nurse Practitioner 5655 Hudson Dr Ste 301, Hudson, OH 44236 2013-10-31
1225382708 Stamatios Tripodis Physical Therapist 1310 Corporate Drive, Hudson, OH 44236 2012-11-05
1881943199 Susan Belle Ujvari Licensed Practical Nurse 1661 Sapphire Drive, Hudson, OH 44236 2012-08-31
Find all providers in zip 44236

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255939153 Rhc Hudson LLC Family Medicine 13910 Fivay Rd Ste 1, Hudson, FL 34667-7130 2020-10-13
1104285030 David Kays Family Medicine 270 Pine Mountain Rd Ste 2, Hudson, NC 28638-2600 2016-02-20
1679888994 Victoria R Alexander Family Medicine 5655 Hudson Dr Ste 130, Hudson, OH 44236-4454 2010-08-11
1780919969 Jennifer L. Laman Family Medicine 13235 State Road 52 Ste 102, Hudson, FL 34669 2009-10-06
1619102993 Vincent Robert Hunt Family Medicine 221 Station Cir N, Hudson, WI 54016-9556 2009-05-15
1013133446 Lora L Council Family Medicine 208 Robinson Rd, Hudson, NH 03051-3059 2007-04-17
1124241351 Fairview Family Practice, P.C. Family Medicine 267 Fairview Ave, Hudson, NY 12534-1210 2007-04-10
1497838205 David J Sassano Family Medicine 13911 Lakeshore Blvd Ste 107, Hudson, FL 34667-7102 2006-10-23
1588674329 Michael G Jaeger Family Medicine 125 Harry Howard Ave, Firemens Nursing Home, Hudson, NY 12534-1601 2006-08-08
1770510471 Jean Ann Jaeger Family Medicine 2400 Route 9, Hudson, NY 12534-4725 2006-06-27
Find all providers in HUDSON

Competitor

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City HUDSON
Zip Code 44236

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Dataset Information

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.

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