MR. BRUCE DEWAYNE WAGNER (NPI# 1982704698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982704698 |
| Entity Type | Individual |
| Full Name | MR. BRUCE DEWAYNE WAGNER |
| Credential | PA |
| Practice Address |
600 S 70th St 431 Redwood Drive Lincoln NE 68510-2451 |
| Mailing Address |
431 Redwood Dr Lincoln NE 68510-2537 |
| Practice Telephone | 4024893802 |
| Practice Fax Number | 4024867900 |
| Mailing Telephone | 4024893802 |
| Mailing Fax Number | 4024867900 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1201 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215351697 | Bruce Wagner | Physician Assistant | 1410 Canal Point Rd, Longwood, FL 32750-4562 | 2014-02-06 |
| 1164689683 | Bruce Robert Wagner | Audiologist | 218 West Market St, Suite 7, Charlottesville, VA 22902-5027 | 2008-05-21 |
| 1053434035 | Bruce Wagner | Optometrist | 24040 Camino Del Avion Ste E, Monarch Beach, CA 92629-4005 | 2007-04-06 |
| 1770028268 | Bruce Richard Wagner | Counselor | 5100 Sw Macadam Ave Ste 400, Portland, OR 97239-3854 | 2016-12-20 |
| Street Address |
600 S 70TH ST 431 REDWOOD DRIVE |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841284338 | Gary Mcvay Kilian | Family Medicine | 600 S 70th St, Lincoln, NE 68510-2451 | 2005-09-12 |
| 1164055638 | Adam Placke | Pharmacist | 600 S 70th St, Lincoln, NE 68510-2451 | 2020-02-12 |
| 1881238699 | Chad Ogden Bailey | Audiologist | 600 S 70th St, Lincoln, NE 68510-2451 | 2019-11-05 |
| 1437618964 | Jessica Martinez | Dental Assistant | 600 S 70th St, Lincoln, NE 68510-2451 | 2019-03-14 |
| 1043776826 | Nhi Nguyen | Nurse Practitioner | 600 S 70th St, Lincoln, NE 68510-2451 | 2019-02-16 |
| 1174097117 | Emily Zink | Social Worker | 600 S 70th St, Lincoln, NE 68510-2451 | 2019-01-13 |
| 1972078178 | Peter Carl Meidlinger | Psychologist | 600 S 70th St, Lincoln, NE 68510-2451 | 2018-10-04 |
| 1669950762 | Bessie Marie Buryanek | Nurse Practitioner | 600 S 70th St, Lincoln, NE 68510-2451 | 2018-07-31 |
| 1154858249 | Hillary Ann Donnelly | Audiologist | 600 S 70th St, Lincoln, NE 68510-2451 | 2017-05-19 |
| 1003356643 | Helen Bernadt | Dietitian, Registered | 600 S 70th St, Lincoln, NE 68510-2451 | 2017-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689849754 | Sarah C Minarick | Physician Assistant | 7100 Stephanie Lane, Ste #100, Lincoln, NE 68516-5332 | 2008-04-29 |
| 1033327721 | Cheryl R Flinn | Physician Assistant | 6891 A St, Ste 210, Lincoln, NE 68510-4111 | 2007-05-18 |
| 1073530861 | Stephanie M Maclary | Physician Assistant | 3 Wake Robin Rd, Lincoln, RI 02865-4294 | 2006-07-16 |
| 1447201389 | Douglas Phelps | Physician Assistant | 4210 Pioneer Woods Dr Ste A, Lincoln, NE 68506-7561 | 2006-05-15 |
| 1073573184 | Lynn Colleen Mclaughlin | Physician Assistant | 6900 Van Dorn St, Suite 24, Lincoln, NE 68506-2882 | 2006-03-23 |
| 1922073618 | Jackie M Hinzman | Physician Assistant | 2662 Cornhusker Hwy, Suite 100, Lincoln, NE 68521-1464 | 2006-02-17 |
| 1437136405 | Jill S Rine | Physician Assistant | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2005-12-29 |
| 1407857253 | Joan Marie George | Physician Assistant | 4600 Valley Rd, Siute 200, Lincoln, NE 68510-4855 | 2005-08-02 |
| 1942827415 | Krista Dawn Patefield | Physician Assistant | 8207 Northwoods Dr Ste 100, Lincoln, NE 68505-2093 | 2020-07-01 |
| 1932748910 | Mason Beel | Physician Assistant | 6911 Van Dorn St Ste 1, Lincoln, NE 68506-6801 | 2019-12-23 |
| Find all providers in LINCOLN | ||||
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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.