DR. ARMIN JARED WAGMAN (NPI# 1710983291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710983291 |
Entity Type | Individual |
Full Name | DR. ARMIN JARED WAGMAN |
Credential | M.D. |
Practice Address |
4350 S National Ave # C-100 Springfield MO 65810-2607 |
Mailing Address |
1301 Concord Ter Sunrise FL 33323-2843 |
Practice Telephone | 4174474700 |
Practice Fax Number | 4174474701 |
Mailing Telephone | 8002433839 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2010-02-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
R3P31 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 203144100 | 05 | |
OK | 100006210A | 05 | |
KS | 20000020 A | 05 | |
AR | 150780001 | 05 |
Street Address |
4350 S NATIONAL AVE # C-100 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65810-2607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245613322 | Robert L Denney | Clinical Neuropsychologist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2015-07-07 |
1932511060 | Raechelle Hansen | Dentist | 4350 S National Ave, Suite #c-112, Springfield, MO 65810-2607 | 2014-05-23 |
1740604974 | Jennifer Acord | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2014-02-07 |
1891033973 | Andrew Christian Vandas | Physician Assistant | 4350 S National Ave, Suite C200, Springfield, MO 65810-2607 | 2013-01-23 |
1780839019 | Cecelia Harris | Physical Therapist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2008-12-01 |
1184875452 | Nancy Joan Dickey | Occupational Therapist | 4350 S National Ave, Suite B 116, Springfield, MO 65810-2607 | 2008-10-06 |
1134388242 | Dawn Marie Rodriguez | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2008-06-04 |
1538357074 | Park Plaza Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 4350 S National Ave, Suite A108, Springfield, MO 65810-2607 | 2007-10-10 |
1295921179 | Nancy Jo Mcbride | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2007-09-24 |
1922290725 | Bradley Michael Newberry | Dentist | 4350 S National Ave, Springfield, MO 65810-2607 | 2007-08-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508373838 | Sunterra Springfield Oc, LLC | Skilled Nursing Facility | 4935 S National Ave, Springfield, MO 65810 | 2018-01-09 |
1982119392 | Boyoung Park | Specialist/Technologist | 4355 S National Ave Apt 905, Springfield, MO 65810 | 2017-12-07 |
1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
1700199668 | Telerad of Mo Account Management, LLC | Radiology | 5117 S. Neffleton Ave, Springfield, MO 65810 | 2010-07-21 |
1427286251 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 745 W El Camino Alto Drive, Springfield (s), MO 65810 | 2009-07-01 |
1033344304 | Teresa Mary Kaelin | Occupational Therapist | 3291 W. Ridge Run, Springfield, MO 65810 | 2009-05-15 |
1538366448 | Rani K Nair | Internal Medicine | 3231 S National Mercy Endocrineology, Ste 440, Springfield, MO 65810 | 2007-07-03 |
1467672519 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4955 S. National Ave., Unit A, Springfield, MO 65810 | 2007-04-30 |
1336161983 | Leo Allan Tokarczyk | Dentist | 4777 S National Ave, Springfield, MO 65810 | 2006-07-24 |
Find all providers in zip 65810 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699153791 | Siddharth Dubey | Pediatrics | 400 N 9th St Fl 2, Springfield, IL 62702-5310 | 2015-05-11 |
1023090875 | Ramzi Toufic Nicolas | Pediatrics | 619 E Mason St Ste 5, Springfield, IL 62701-1080 | 2005-11-17 |
1447686415 | Lamya Mubayed | Pediatrics | 400 N 9th St, Springfield, IL 62702-5310 | 2013-09-22 |
1881836724 | Eric Anders Johnson | Pediatrics | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2009-03-24 |
1841486263 | Hani S Ghawi | Pediatrics | 619 E Mason St, 5th Floor, Springfield, IL 62701-1034 | 2007-09-19 |
1912098831 | Thomas W Rowland | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-09-27 |
1881793941 | Anna Tsirka | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-09-22 |
1275556771 | Siu Physicians & Surgeons, Inc | Pediatrics | 701 N 1st St, D235, Springfield, IL 62781-0001 | 2006-07-25 |
1003812504 | Alan Dare Tong | Pediatrics | 4350 S National Ave, Suite C 100, Springfield, MO 65810-2607 | 2005-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669023388 | Kansas City Pediatric Cardiology Associates | Pediatrics | 4150 N Mulberry Dr Ste 150, Kansas City, MO 64116-1764 | 2019-09-24 |
1205255379 | Manoj Parimi | Pediatrics | 621 S New Ballas Rd Ste 198a, Saint Louis, MO 63141-8255 | 2014-04-15 |
1144399338 | Mercy Clinic Children's Heart Center, LLC | Pediatrics | 621 S New Ballas Road, Suite 198-a, St Louis, MO 63141-8255 | 2006-11-06 |
1255389920 | William Baker Drake IIi | Pediatrics | 4150 N Mulberry Dr, Suite 150, Kansas City, MO 64116-1779 | 2006-05-05 |
1063460079 | Catherine Ong Simon | Pediatrics | 2401 Gillham, Children's Mercy Hospital, Kansas City, MO 64108 | 2006-05-04 |
1467458943 | Allan James Shapiro | Pediatrics | 500 N Keene St, Ste 207, Columbia, MO 65201-8105 | 2005-06-21 |
1356792881 | Maria G Kiaffas | Pediatrics | 2401 Gillham Rd., Dept. of Cardiology, Kansas City, MO 64108-4619 | 2016-06-27 |
1841623626 | John Papagiannis | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-08-15 |
1730522723 | Matthew Louis Moehlmann | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-09 |
1760747026 | Gloria Chansong Lehmann | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104 | 2012-07-11 |
Find all providers with the same taxonomy |
City | SPRINGFIELD |
Zip Code | 65810 |
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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.