DR. PHILLIP L WAGNER


Address: 1140 Lexington Rd, Georgetown, KY 40324-9330
Phone: 5028681100

DR. PHILLIP L WAGNER (NPI# 1891721833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891721833
Entity Type Individual
Full Name DR. PHILLIP L WAGNER
Credential MD
Practice Address 1140 Lexington Rd
Georgetown
KY 40324-9330
Mailing Address 106 Windridge Dr
Nicholasville
KY 40356-8029
Practice Telephone 5028681100
Enumeration Date 2006-06-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 25974 KY Allopathic & Osteopathic Physicians

Other Providers PHILLIP WAGNER

NPI Name Taxonomy Address Enumeration
1548722481 Phillip Wagner Student in an Organized Health Care Education/Training Program 3600 Forbes Ave Ste 140, Pittsburgh, PA 15213-3410 2019-04-01
1912931619 Phillip Leroy Wagner Preventive Medicine 2211 Lomas Ne, Albuquerque, NM 87131 2006-07-10

Office Location

Street Address 1140 LEXINGTON RD
City GEORGETOWN
State KY
Zip Code 40324-9330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538164884 Charles Richard Hill Obstetrics & Gynecology 1140 Lexington Rd, Ste 205, Georgetown, KY 40324-9330 2005-06-14
1245852474 Melissa Diane Williams Nurse Practitioner 1140 Lexington Rd, Georgetown, KY 40324-9330 2020-05-11
1134769904 Peyton Madison Blanton Nurse Practitioner 1140 Lexington Rd, Georgetown, KY 40324-9330 2020-01-09
1588028617 Kelly R. Woodard Nurse Anesthetist, Certified Registered 1140 Lexington Rd, Georgetown, KY 40324-9330 2016-04-05
1679902340 Kentucky Mso, LLC Internal Medicine 1140 Lexington Rd, Georgetown, KY 40324-9330 2013-11-04
1366885774 The Center for Better Hearing, LLC Audiologist 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 2013-04-16
1336483957 Kentucky Mso LLC Physician Assistant 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9330 2012-11-20
1891055877 Vinod Kumar Muniswamy Anesthesiology 1140 Lexington Rd, Georgetown, KY 40324-9330 2012-05-23
1821383662 Jason Rasmussen Md Pllc Surgery 1140 Lexington Rd, Suite 203, Georgetown, KY 40324-9330 2011-06-09
1316239841 Kentucky Mso LLC Psychiatry & Neurology 1140 Lexington Rd, Suite 105, Georgetown, KY 40324-9330 2011-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306457577 Katherine Lynn Helly Specialist/Technologist 108 Crawford Dr, Georgetown, KY 40324 2020-08-12
1629530597 Hannah Cheyenne Lambert Occupational Therapy Assistant 12 Dover Dr, Georgetown, KY 40324 2019-04-01
1669932430 Kathlyn Reeves Cummings Occupational Therapist 112 Dover Drive Dover Manor, Georgetown, KY 40324 2019-03-20
1356848147 Conundrum, Inc Home Health 107 Frazier Ct Ste 2b, Georgetown, KY 40324 2018-04-09
1831698893 Staci Case Counselor 110 E. Main St. Suite 111, Georgetown, KY 40324 2018-02-06
1821537002 Lesa Young Counselor 112 Gatewood Drive, Georgetown, KY 40324 2017-02-21
1508235904 Recovery Works Specialist 3109 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1417326810 Recovery Works Specialist 3111 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1982073383 Recovery Works Specialist 3109-5 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1871962274 Recovery Works Specialist 3111-5 Cincinnati Road, Georgetown, KY 40324 2015-09-16
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336589308 Jon C Thompson Emergency Medicine 232 Harmony Ridge Dr, Georgetown, KY 40324-9688 2013-07-05
1497073209 Jeremy Alan Padalecki Emergency Medicine 1100 Teravista Xing, Georgetown, TX 78626-7704 2010-05-05
1528229432 Rohit S Patel Emergency Medicine 4506 Williams Dr Ste 120, Georgetown, TX 78633-1306 2008-06-23
1740483122 Ryan Sanford Prudoff Emergency Medicine 1210 W University Ave, Georgetown, TX 78628-5333 2007-06-06
1144313982 Ann Louise Nolen Emergency Medicine 7600 Highway 29 W, Suite 5, Georgetown, TX 78628-6937 2006-10-02
1932116027 Stat Med P.a. Emergency Medicine 902b N Austin Ave, Georgetown, TX 78626-4333 2006-08-01
1194768044 Scott Harrison Emergency Medicine 122 Cherry Hill Dr, Georgetown, KY 40324-9654 2006-06-14
1093765935 Michael Miller Emergency Medicine 360 Westbury Ln, Georgetown, TX 78628-4374 2006-05-11
1588191134 Michael Patrick Stribos Emergency Medicine 606 Black River Rd, Georgetown, SC 29440-3304 2017-05-15
1831519826 Candice Weiner-johnson Emergency Medicine 908 Rockmoor Dr, Georgetown, TX 78628-8966 2014-04-17
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Competitor

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City GEORGETOWN
Zip Code 40324

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Dataset Information

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.

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