MR. NICHOLAS R WAGNER (NPI# 1770801359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770801359 |
Entity Type | Individual |
Full Name | MR. NICHOLAS R WAGNER |
Credential | ARNP |
Practice Address |
1000 Lakeview Rd Suite 4 Clearwater FL 33756-3475 |
Practice Telephone | 7274625424 |
Mailing Telephone | 7274625424 |
Enumeration Date | 2010-05-06 |
Last Update Date | 2010-10-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9243050 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073151387 | Nicholas Wagner | Occupational Therapy Assistant | 358 Lagoon Lane, Silverthorne, CO 80498 | 2019-12-17 |
1831612316 | Nicholas Wagner | Licensed Vocational Nurse | 321 Cassidy St, Oceanside, CA 92054-5314 | 2017-07-17 |
1023338480 | Nicholas Joseph Wagner | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2010-06-09 |
1497915565 | Nicholas J. Wagner | Pediatrics | 7900 Fm 1826, Bldg. 1, Ste. 220, Austin, TX 78737 | 2008-06-12 |
1386685360 | Nicholas Mark Wagner | Physical Therapist | 600 S Mckinley St, Suite 210, Little Rock, AR 72205-5202 | 2006-06-09 |
Street Address |
1000 LAKEVIEW RD SUITE 4 |
City | CLEARWATER |
State | FL |
Zip Code | 33756-3475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790765089 | James Campbell | Specialist | 1000 Lakeview Rd, Suite 3, Clearwater, FL 33756-3475 | 2006-01-20 |
1558665166 | Pri X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1000 Lakeview Rd, Clearwater, FL 33756-3475 | 2010-12-23 |
1134319957 | Florida Cardiovascular Surgeons Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 Lakeview Rd, Suite 3, Clearwater, FL 33756-3475 | 2007-07-27 |
1487794848 | Barr Prosthetics & Orthotics, Pa | Prosthetic/Orthotic Supplier | 1000 Lakeview Rd, Suite 6, Clearwater, FL 33756-3475 | 2007-02-07 |
1841202264 | John A Moyer | Family Medicine | 1000 Lakeview Rd, Suite #1, Clearwater, FL 33756-3475 | 2006-08-13 |
1629087028 | J. Martin Klein | Family Medicine | 1000 Lakeview Rd, Suite #1, Clearwater, FL 33756-3475 | 2006-08-05 |
1033123740 | James D Barr | Specialist | 1000 Lakeview Rd, Suite 6, Clearwater, FL 33756-3475 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
Find all providers in zip 33756 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174139521 | Elizabeth Adams | Nurse Practitioner | 2515 Bramblewood Dr E, Clearwater, FL 33763-1212 | 2020-09-21 |
1912517210 | Lynn Hutto | Nurse Practitioner | 2067 Montclair Rd, Clearwater, FL 33763-4230 | 2020-08-03 |
1508403676 | Jorge Duenas Giuria | Nurse Practitioner | 2251 Lauren Ln, Clearwater, FL 33759-1438 | 2019-12-07 |
1679124259 | Christina M Battafarano | Nurse Practitioner | 19995 Us 19 N, Clearwater, FL 33764-5013 | 2019-09-24 |
1568926863 | Brianne Bender | Nurse Practitioner | 1305 S Fort Harrison Ave Ste E, Clearwater, FL 33756-3301 | 2019-01-31 |
1114401007 | Elizabeth Kurman | Nurse Practitioner | 25 N Belcher Rd Apt C120, Clearwater, FL 33765-3206 | 2018-09-18 |
1023509965 | Judith Lynn Pierce | Nurse Practitioner | 1536 Nursery Rd, Clearwater, FL 33756-2319 | 2018-05-26 |
1780191551 | Dana Schnell | Nurse Practitioner | 29605 Us Highway 19 N Ste 170, Clearwater, FL 33761-1538 | 2018-01-03 |
1154850683 | Laronda Lynn Lang | Nurse Practitioner | 3165 N Mcmullen Booth Rd Bldg H, Clearwater, FL 33761-2034 | 2017-06-08 |
1861863037 | Michael Gordon Dilling | Nurse Practitioner | 18167 Us Highway 19 N # 337, Suite 650, Clearwater, FL 33764-3528 | 2015-10-14 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33756 |
Please comment or provide details below to improve the information on MR. NICHOLAS R 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.