MR. JEFFREY M WAGNER (NPI# 1760521843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760521843 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY M WAGNER |
| Credential | PHD |
| Practice Address |
500 Market Street 1-g Portsmouth NH 03801 |
| Practice Telephone | 6034271428 |
| Practice Fax Number | 6034315538 |
| Mailing Telephone | 6034271428 |
| Mailing Fax Number | 6034315538 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
396 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80000875 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881151876 | Jeffrey Frank Wagner | Pharmacist | 6310 Health Park Way Ste 130, Lakewood Ranch, FL 34202-5177 | 2019-02-26 |
| 1437244050 | Jeffrey Todd Wagner | Physical Therapist | 1 Gateway Drive, Wading River, NY 11792 | 2006-10-03 |
| 1891744967 | Jeffrey Douglas Wagner | Physician Assistant | 18 Ronald Ln, Sayville, NY 11782-1622 | 2006-05-08 |
| 1881684207 | Jeffrey M Wagner | Allergy & Immunology | 98 Willow Ln, Spartanburg, SC 29307-1357 | 2005-10-26 |
| 1881690790 | Jeffrey David Wagner | Surgery | 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 | 2005-06-24 |
| 1255894481 | Jeffrey Ryan Wagner | Student in an Organized Health Care Education/Training Program | 2425 Geary Blvd, San Francisco, CA 94115-3358 | 2019-04-14 |
| 1003312117 | Jeffrey Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-05 |
| 1023552114 | Jeffrey David Wagner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239 | 2016-12-08 |
| 1578798914 | Jeffrey Mark Wagner | Physical Therapist | 1430 Esplanade, Suite 8, Chico, CA 95926-3366 | 2009-05-28 |
| 1568624187 | Jeffrey G Wagner | Family Medicine | 9280 W Sunset Rd Ste 200, Las Vegas, NV 89148 | 2008-06-25 |
| Street Address |
500 MARKET STREET 1-G |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932626231 | Child Specialty Services LLC | Psychologist | 11 King Charles Dr # 4b, Portsmouth, RI 02871-1446 | 2017-08-28 |
| 1457715476 | Unity Outreach Ministries of America, Inc | Psychologist | 1128 London Blvd, Portsmouth, VA 23704-2246 | 2016-04-06 |
| 1619392503 | Chestnut Hill Counseling Associates - Portsmouth LLC | Psychologist | 539 Islington St Ste 4, Portsmouth, NH 03801-4471 | 2014-02-28 |
| 1235400953 | Jennifer L Gray | Psychologist | 362 Sherburne Rd, Portsmouth, NH 03801-4744 | 2012-01-26 |
| 1578709176 | Douglas B. Bernon | Psychologist | 13 Baker Rd, Portsmouth, RI 02871-1708 | 2009-01-02 |
| 1568607521 | Joseph M. Carver, Ph.d., Inc. | Psychologist | 500 Chillicothe St, Suite 306, Portsmouth, OH 45662-4179 | 2008-12-04 |
| 1801011754 | Sara Julianne Lauren | Psychologist | 118 Maplewood Ave Unit B2, Portsmouth, NH 03801-3787 | 2007-04-16 |
| 1063557734 | Christina A Carmody | Psychologist | 3116 Rolen Dr, Portsmouth, VA 23703-4726 | 2007-02-21 |
| 1346316387 | Ellen Harrison Barnett | Psychologist | 58 Washington St Ste 1, Portsmouth, NH 03801-4639 | 2006-11-28 |
| 1871697227 | Howard Israel Benesch | Psychologist | 11 King Charles Drive, Suite 11 4b, Portsmouth, RI 02871 | 2006-09-07 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on MR. JEFFREY M WAGNER.
| 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.