DAVID M WAGNER (NPI# 1689735615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689735615 |
| Entity Type | Individual |
| Full Name | DAVID M WAGNER |
| Credential | CRNA |
| Practice Address |
801 7th Ave Fort Worth TX 76104-2733 |
| Mailing Address |
Po Box 162835 Fort Worth TX 76161-2835 |
| Practice Telephone | 6828854054 |
| Practice Fax Number | 6828857497 |
| Mailing Telephone | 8173340530 |
| Mailing Fax Number | 8173340235 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 704521 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN GROUP TPI | 140442853 | 01 |
| TX | UHC PIN | 2460115 | 01 |
| TX | MEDICAID GROUP TPI | 137345809 | 01 |
| TX | 164929503 | 05 | |
| TX | AMERIGROUP PIN | 10013790 | 01 |
| GRP NPI NUMBER | 1447220850 | 01 | |
| TX | CSHCN | 164929504 | 01 |
| TX | MEDICARE GROUP PIN | 00N47F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538236757 | David Michael Wagner | Counselor | 8335 40th Ave N, St Petersburg, FL 33709-3934 | 2006-11-30 |
| 1912079823 | David A Wagner Sr. | Dentist | 43 East Mills Street, Columbus, NC 28722 | 2006-11-15 |
| 1205917523 | David Wagner | Dentist | 1919 N Pearl St Ste A3, Tacoma, WA 98406-2456 | 2006-10-17 |
| 1255444345 | David Robert Wagner | Chiropractor | 3107 W Slaughter Ln, Austin, TX 78748-5574 | 2006-08-16 |
| 1265448328 | David C Wagner | Physical Therapist | 3105 Main St, Marlette, MI 48453-1508 | 2006-07-31 |
| 1821012105 | David Wagner | Internal Medicine | 135 East 37th St, New York, NY 10016 | 2006-07-27 |
| 1295754778 | David A Wagner | Optometrist | 3285 State Route 257, Seneca, PA 16346-2529 | 2006-07-18 |
| 1508847997 | David Scott Wagner | Chiropractor | 31285 Temecula Pkwy Ste 260, Temecula, CA 92592-6830 | 2005-11-11 |
| 1821085168 | David Edwin Wagner | Dentist | 5992 Howdershell Rd, Ste 206, Hazelwood, MO 63042-4107 | 2005-10-03 |
| 1326046897 | David Gordon Wagner | Specialist | 14955 Shady Grove Rd, Suite 125, Rockville, MD 20850-8700 | 2005-07-08 |
| Street Address |
801 7TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315010 | Jon Michael Badgwell | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2005-06-08 |
| 1609482884 | Tiffani Christensen | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2796 | 2020-09-22 |
| 1528676723 | Kaitlin Renee Noyes | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-07-14 |
| 1114567369 | Lauren Elizabeth Walker | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-01-15 |
| 1124667753 | Kirsten A Gomez | Social Worker | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-30 |
| 1841838448 | Mark Cole Carrillo | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-13 |
| 1326686148 | Erica Burton | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-11 |
| 1689217432 | Claire Koskie | Dietitian, Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-10-24 |
| 1437709243 | Rhonda Maritza Andi | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-09-13 |
| 1972061034 | Katharine Avery Molloy | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1487292520 | Tran Dao | Nurse Anesthetist, Certified Registered | 8113 Rambler Rose St, Fort Worth, TX 76137-1294 | 2019-12-19 |
| 1093375305 | Desiree Michelle Silva | Nurse Anesthetist, Certified Registered | 7212 Park West Cir Apt 8210, Fort Worth, TX 76134-3570 | 2019-06-18 |
| 1255877551 | Virtue Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 209 Saint Louis Ave, Fort Worth, TX 76104-1231 | 2017-01-10 |
| 1326406919 | Tonie Durrah | Nurse Anesthetist, Certified Registered | 9713 Burwell Dr, Fort Worth, TX 76244-9531 | 2016-02-10 |
| 1730545658 | Erasmo Coutino | Nurse Anesthetist, Certified Registered | 917 W Broadus Ave, Fort Worth, TX 76115-2410 | 2016-01-07 |
| 1528423365 | John Ryan Nuckols | Nurse Anesthetist, Certified Registered | 6020 Portico Dr Apt 1527, Fort Worth, TX 76132-4189 | 2015-12-21 |
| 1194198457 | Nathan Boone Crick | Nurse Anesthetist, Certified Registered | 5264 Buffalo Gap Trl, Fort Worth, TX 76126 | 2015-11-09 |
| 1780061044 | Heather Taylor Ross | Nurse Anesthetist, Certified Registered | 5918 Siltstone Ln, Apt 616, Fort Worth, TX 76137-8003 | 2015-05-06 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.