DR. BENJAMIN ROBERT WAGNER


Address: 4301 W Markham St # 584, Little Rock, AR 72205-7101
Phone: 5016866996

DR. BENJAMIN ROBERT WAGNER (NPI# 1700347796) 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) 1700347796
Entity Type Individual
Full Name DR. BENJAMIN ROBERT WAGNER
Credential MD
Practice Address 4301 W Markham St # 584
Little Rock
AR 72205-7101
Practice Telephone 5016866996
Mailing Telephone 5016866996
Enumeration Date 2019-03-31
Last Update Date 2019-03-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers BENJAMIN WAGNER

NPI Name Taxonomy Address Enumeration
1164045175 Benjamin Alexander Wagner Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Boston, MA 02215-5491 2020-05-26
1568924231 Benjamin Wagner Student in an Organized Health Care Education/Training Program 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2019-04-02
1851740435 Benjamin Wagner Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Tc 3116, Ann Arbor, MI 48109-5368 2016-06-06
1417343757 Benjamin Wagner Orthopaedic Surgery 9100 Babcock Blvd, Pittsburgh, PA 15237-5815 2015-04-14
1447591565 Benjamin John Wagner Physician Assistant 3980 Sheridan Dr, Amherst, NY 14226-1727 2013-03-14
1497047567 Benjamin J Wagner Emergency Medicine 405 W Jackson St, Carbondale, IL 62901-1462 2011-05-09
1417069832 Benjamin Wagner Counselor 3340 Woodburn Rd, Annandale, VA 22003-1202 2006-08-31

Office Location

Street Address 4301 W MARKHAM ST # 584
City LITTLE ROCK
State AR
Zip Code 72205-7101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538256680 Gregory Hall Emergency Medicine 4301 W Markham St # 584, Little Rock, AR 72205-7101 2006-10-09
1356970966 Hayden Arthur Hibbard Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2020-04-06
1093344913 Vivian H Diep Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2020-04-02
1386272532 Gerald William Kempton Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2020-03-31
1568090116 Omar Acosta Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2020-03-30
1972131670 Heidi Dawn Meredith Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2020-03-29
1679034664 Alex Camron Sanders Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2019-03-31
1508327727 Joe William Brown Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2019-03-29
1104387281 Brendan Moore Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2019-03-29
1174084214 Matthew John Denefe Student in an Organized Health Care Education/Training Program 4301 W Markham St # 584, Little Rock, AR 72205-7101 2019-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629686571 Prachi Saluja Student in an Organized Health Care Education/Training Program 2400 Riverfront Dr Apt 424, Little Rock, AR 72202-2219 2020-07-16
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1306460456 Vidhu Vadini Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 634, University of Arkansas For, Little Rock, AR 77205 2020-06-04
1467071845 Allison Morton Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot 589, Little Rock, AR 72202 2020-04-15
1336778950 Duy Ha Student in an Organized Health Care Education/Training Program 1403 Kavanaugh Blvd, Little Rock, AR 72205-4323 2020-04-06
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1568091593 Hannah Elisabeth Smashey Lewis Student in an Organized Health Care Education/Training Program 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 2020-04-02
1861021990 Alexander Winslow Payne Student in an Organized Health Care Education/Training Program 4301 W Markham St # 552, Little Rock, AR 72205-7199 2020-04-01
1316575657 Jonathan Colby Smith Student in an Organized Health Care Education/Training Program 4301 W Markham, Slot 602, Little Rock, AR 72205-7101 2020-03-31
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72205

Improve Information

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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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