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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
| Street Address |
4301 W MARKHAM ST # 584 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.