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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 25974 | KY | Allopathic & Osteopathic Physicians |
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 |
Street Address |
1140 LEXINGTON RD |
City | GEORGETOWN |
State | KY |
Zip Code | 40324-9330 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 40324 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
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 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 40324 |
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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.