SARA JAGELS WAGNER


Address: 700 S 320th St Ste A, Federal Way, WA 98003-4691
Phone: 9042732717

SARA JAGELS WAGNER (NPI# 1982840526) 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) 1982840526
Entity Type Individual
Full Name SARA JAGELS WAGNER
Credential PA-C
Practice Address 700 S 320th St Ste A
Federal Way
WA 98003-4691
Mailing Address 1793 13th St Se
Salem
OR 97302-2541
Practice Telephone 9042732717
Mailing Telephone 5033628385
Enumeration Date 2009-01-04
Last Update Date 2020-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA 9103621 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2141807 05

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Office Location

Street Address 700 S 320TH ST STE A
City FEDERAL WAY
State WA
Zip Code 98003-4691

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634969 Jossie Jeniffer Wong-vicuna Interpreter 3001 S 288th Street, 201, Ferderal Way, WA 98003 2020-09-17
1336642420 Otto Family Massage Therapist 720 S 348th St Ste A-1b, Federal Way, WA 98003 2018-03-14
1962912709 Lindsay Plumley Occupational Therapist 33330 8th Avenue S, Federal Way, WA 98003 2017-10-06
1861922387 Sea Mar Community Health Centers Pharmacy 31405 18th Ave South, Federal Way, WA 98003 2017-06-18
1023547072 Iora Health Washington Physicians, P.C. Internal Medicine 1414 S. 324th Street, Federal Way, WA 98003 2017-06-05
1811346869 Iora Senior Health Inc Internal Medicine 1414 S 324th St, Federal Way, WA 98003 2016-06-10
1972958940 Kathy Marie Haviland Registered Nurse 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 2016-04-27
1972969343 Jacklyn Marie James Specialist 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 2016-01-14
1659767036 Jillian Liner Pediatrics 34503 9th Ave S Ste 220, Federal Way, WA 98003 2015-04-12
1235537739 Simranjit Singh Longia Student in an Organized Health Care Education/Training Program 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 2014-12-15
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942226352 Kelly A. Zessin Physician Assistant 31675 Pacific Hwy S, Federal Way, WA 98003 2006-07-15
1053809277 Jessica Ann Sisu Physician Assistant 30809 1st Ave S, Federal Way, WA 98003-4074 2018-04-24
1902275233 Ismail Jatta Physician Assistant 33501 1st Way S, Federal Way, WA 98003-6208 2015-09-16
1497137889 Christopher Pratt Physician Assistant 33501 1st Way S, Ms:a-so, Federal Way, WA 98003-6208 2015-06-23
1275935553 Rose Jones Physician Assistant 505 S 336th St Ste 500, Federal Way, WA 98003-8300 2014-09-18
1548683295 Carina Walker Physician Assistant 33501 1st Way S, Federal Way, WA 98003-6208 2014-01-31
1780968883 Elizabeth Kathleen Shuckhart Physician Assistant 301 S 320th St, Federal Way, WA 98003-5200 2011-10-06
1952588725 Kevin Adam Goodell Physician Assistant 505 S 336th St Ste 500, Federal Way, WA 98003-8300 2008-01-23
1790973923 Aaron Louis Isaac Physician Assistant 34515 9th Ave S, Federal Way, WA 98003-6761 2007-10-12
1467509653 Rick I. Eskenazi Physician Assistant 301 S 320th St, Federal Way, WA 98003-5200 2007-01-03
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Competitor

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City FEDERAL WAY
Zip Code 98003

Improve Information

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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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