RONALD S WAGNER


Address: 110 Marcus Drive, Melville, NY 11747
Phone: 6313901793

RONALD S WAGNER (NPI# 1689661415) 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) 1689661415
Entity Type Individual
Full Name RONALD S WAGNER
Credential MD
Practice Address 110 Marcus Drive
Melville
NY 11747
Practice Telephone 6313901793
Practice Fax Number 6313901780
Mailing Telephone 6313901793
Mailing Fax Number 6313901780
Enumeration Date 2005-10-06
Last Update Date 2012-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
2056791 NY Allopathic & Osteopathic Physicians

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Office Location

Street Address 110 MARCUS DRIVE
City MELVILLE
State NY
Zip Code 11747

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831148832 Steven W Winter Specialist 110 Marcus Drive, Melville, NY 11747 2006-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891316139 Shaina Flanzraich Physical Therapist 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 2020-04-28
1952943763 Liana Danielle Maher Behavior Technician 225 Broadhallow Road Suite 402, Melville, NY 11747 2019-10-14
1114402096 Anicka Inez Douglas Behavior Technician 225 Broadhollow Road Suite 402, Melville, NY 11747 2018-09-26
1962988717 Brien Nina-louise Potter Behavior Technician 225 Broadhollow Road, Suite 402, Melville, NY 11747 2018-07-16
1750804951 Iri: Innovative Resources for Independence Intermediate Care Facility, Mentally Retarded 922 Rainbow Commons Ct, Melville, NY 11747 2017-07-19
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1992236624 Annmarie Irene Russo Behavior Technician 538 Ny-110, Suite 202, Melville, NY 11747 2017-03-24
1205378130 Independent Group Home Living Program, Inc Nursing Facility/Intermediate Care Facility 914 Rainbow Commons, Melville, NY 11747 2016-11-09
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407859861 Robert Diamond Radiology 110 Marcus Dr, Melville, NY 11747-4228 2005-05-31
1376952804 St. Francis Cardiac Prevention Services PC Radiology 245 Old Country Rd, Melville, NY 11747-2726 2014-08-08
1457326506 Stand-up Mri of Melville, PC Radiology 110 Marcus Dr, Melville, NY 11747-4228 2006-02-22

Providers in the same taxonomy and state

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1730702986 Hudson Valley Radiologists, PC Radiology 17 Argent Dr, Poughkeepsie, NY 12603-6040 2020-05-22
1114540366 Hudson Valley Radiologists, PC Radiology 12 Caliguiri Ct, Lagrangeville, NY 12540-4912 2020-05-22
1831712082 Hudson Valley Radiologists, PC Radiology 23 Sommerset Rd, Poughkeepsie, NY 12603 2020-05-22
1124641378 Hudson Valley Radiologists, PC Radiology 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 2020-05-22
1023631272 Hudson Valley Radiologists, PC Radiology 3 Riding Ridge Trl, Beacon, NY 12508-7023 2020-05-22
1740803998 Hudson Valley Radiologists, PC Radiology 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 2020-05-22
1215550462 Hudson Valley Radiologists, PC Radiology 50 Leonard St Unit 106, Beacon, NY 12508-3455 2020-05-22
1285257519 Hudson Valley Radiologists, PC Radiology 14 Hilee Rd, Rhinebeck, NY 12572-2347 2020-05-21
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Competitor

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City MELVILLE
Zip Code 11747

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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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