KATHRYN A WAGNER (NPI# 1790827053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790827053 |
| Entity Type | Individual |
| Full Name | KATHRYN A WAGNER |
| Credential | PA |
| Practice Address |
1500 East Medical Center Dr 3rd Cardiovascular Center Recp C Ann Arbor MI 48109-5864 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 8882871082 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003769 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867051 | Kathryn Irene Wagner | Psychologist | Washington Dc Va Medical Center 50 Irving Street Nw, Washington, DC 20422-0001 | 2018-04-03 |
| 1598297756 | Kathryn Emily Wagner | Student in an Organized Health Care Education/Training Program | Op Bldg 7th Floor W Rm S7237, 263 Farmington Ave, Farmington, CT 06030-8073 | 2017-03-28 |
| 1366860009 | Kathryn Wagner | Neurological Surgery | 3101 Sw 13th Ave Apt 19, Portland, OR 97239-3071 | 2014-03-31 |
| 1245678200 | Kathryn P Wagner | Occupational Therapy Assistant | 1567 Westview Ct, Laramie, WY 82070-6081 | 2013-06-11 |
| 1255618211 | Kathryn Ann Wagner | Home Health | 6572 Powers Rd, Orchard Park, NY 14127-4804 | 2011-11-04 |
| 1043508617 | Kathryn R Wagner | Radiology | 10 Belvidere Ave, Worcester, MA 01605 | 2011-07-18 |
| 1427584564 | Kathryn Ann Wagner | Chiropractor | 2917 Highway K, Ste F, O Fallon, MO 63368-7979 | 2017-05-10 |
| 1952686719 | Kathryn A Wagner | Social Worker | 107 Commercial St, Mashpee, MA 02649-6507 | 2011-10-12 |
| 1093046716 | Kathryn Ellen Wagner | Counselor | 2500 W 4th St, Wilmington, DE 19805-3367 | 2010-01-20 |
| 1902044423 | Kathryn Ann Wagner | Physical Therapist | 1305 Dantignac St, Augusta, GA 30901-2774 | 2009-01-22 |
| Street Address |
1500 EAST MEDICAL CENTER DR 3RD CARDIOVASCULAR CENTER RECP C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417731 | Daniel William Berland | Internal Medicine | 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp B, Ann Arbor, MI 48109-5352 | 2005-06-17 |
| 1770105405 | Emily Ager | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Dr, B1-380 Taubman Center, Ann Arbor, MI 48109-5305 | 2020-05-15 |
| 1922668987 | Matthew James Wolf | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-20 |
| 1235799644 | Helen Elizabeth Mulcahy | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-18 |
| 1679133490 | Alexander Charles Waselewski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1043870868 | Danielle Rose Vanbeckum | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1881254621 | Megan Kathryn Zakerski | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-06-14 |
| 1104484625 | Alicia Isabelle Rolin | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1417515933 | Kristen Elizabeth Unsicker | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| 1760040273 | Katie Christine Ramos | Pediatrics | 1500 East Medical Center Dr, Ann Arbor, MI 48109-5718 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483080 | Bernice Li | Physician Assistant | 2299 Hickory Point Dr, Ann Arbor, MI 48105-9291 | 2020-09-29 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1992278444 | Torsten B Berg | Physician Assistant | 2906 Chesterfield St, Ann Arbor, MI 48104-6512 | 2019-01-08 |
| 1548658644 | Ashley Lopresto | Physician Assistant | 2000 Green Rd, Ste 300, Emergency Physicians Medical Group, Ann Arbor, MI 48105 | 2014-12-26 |
| 1255565685 | Erin Elizabeth Van Tiem | Physician Assistant | 706 W Huron St Ste 201, Ann Arbor, MI 48103 | 2009-05-13 |
| 1508943663 | Jason J Grove | Physician Assistant | 1500 E Medical Center Dr, 3rd Floor Recp. A Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 | 2006-11-01 |
| 1205852902 | Kevin C Eves | Physician Assistant | 2098 South Main Street, Ann Arbor, MI 48103 | 2006-07-14 |
| 1336199165 | Suzanne Beth Eiss | Physician Assistant | 2098 South Main St, Ann Arbor, MI 48103-5827 | 2006-05-11 |
| 1811946379 | Christianne Elizabeth Marshall | Physician Assistant | 1500 East Medical Center Dr, 4th Floor, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4217 | 2006-05-10 |
| 1699734939 | Richard J Sartori | Physician Assistant | 706 W. Huron St, Ann Arbor, MI 48103 | 2006-03-23 |
| Find all providers in ANN ARBOR | ||||
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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.