WILLIAM WAGNER MD PC (NPI# 1891073573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891073573 |
Entity Type | Organization |
Organization Name | WILLIAM WAGNER MD PC |
Practice Address |
4135 S Power Rd Ste 120 Mesa AZ 85212-3626 |
Mailing Address |
Po Box 468 Higley AZ 85236-0468 |
Practice Telephone | 3309292580 |
Practice Fax Number | 4803617388 |
Mailing Telephone | 3309292580 |
Mailing Fax Number | 4803617388 |
Enumeration Date | 2011-07-28 |
Last Update Date | 2011-07-28 |
Authorized Official Name | WILLIAM J WAGNER (OWNER) |
Authorized Official Telephone | 3309292580 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
44925 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
4135 S POWER RD STE 120 |
City | MESA |
State | AZ |
Zip Code | 85212-3626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255976858 | Devin James Welker | Nurse Practitioner | 4135 S Power Rd Ste 120, Mesa, AZ 85212-3626 | 2019-11-07 |
1942866017 | Innovative Family Health Practices LLC | Family Medicine | 4135 S Power Rd Ste 120, Mesa, AZ 85212-3626 | 2019-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
Find all providers in zip 85212 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144480682 | Win Toe | Psychiatry & Neurology | 6553 E Baywood Ave Ste 212, 2nd Floor, Mesa, AZ 85206-1754 | 2008-06-09 |
1063479707 | Julius Ray Charlie | Psychiatry & Neurology | 6944 E Broadway Rd, Mesa, AZ 85208-1916 | 2006-04-27 |
1053309245 | Gilbert J. Toffol, D.o., Pllc | Psychiatry & Neurology | 1134 E University Dr, Ste 114, Mesa, AZ 85203-8027 | 2005-10-11 |
1699771600 | David Charles Marzulo | Psychiatry & Neurology | 1919 E Mckellips Rd, Ste 102, Mesa, AZ 85203-2844 | 2005-06-23 |
1669095394 | Tonto Tech LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
1124641857 | Pine Monitoring LLC | Psychiatry & Neurology | 6424 E Broadway Rd Ste 102, Mesa, AZ 85206-1750 | 2020-05-28 |
1043728801 | Advanced Iom Specialists, LLC | Psychiatry & Neurology | 2535 W Plata Ave, Mesa, AZ 85202-7860 | 2018-01-15 |
1184135980 | Iom Technologist Rem LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-19 |
1801307814 | Intraoperative Neurology Preventative Services LLC | Psychiatry & Neurology | 4566 E Inverness Ave Ste 208, Mesa, AZ 85206-4634 | 2017-10-17 |
1386154219 | Mag7 Neurology LLC | Psychiatry & Neurology | 4540 E Baseline Rd Ste 105, Mesa, AZ 85206-4616 | 2017-10-05 |
Find all providers in MESA |
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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.