HOWARD WAGENBERG (NPI# 1992781975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992781975 |
| Entity Type | Individual |
| Full Name | HOWARD WAGENBERG |
| Credential | DPM |
| Practice Address |
166 Kinsley St Ste 201 Nashua NH 03060-3676 |
| Practice Telephone | 6038809177 |
| Practice Fax Number | 6038809672 |
| Mailing Telephone | 6038809177 |
| Mailing Fax Number | 6038809672 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 157 | NH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30364154 | 05 | |
| NH | PALMETTO GBA RAILROAD MEDICARE | DC3586 | 01 |
| NH | ANTHEM BLUE CROSS BLUE SHIELD | 0308252Y0NH02 | 01 |
| Street Address |
166 KINSLEY ST STE 201 |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397125 | David R. Kosofsky | Podiatrist | 166 Kinsley St Ste 201, Nashua, NH 03060-3676 | 2005-12-20 |
| 1801278783 | Michael Kelly | Podiatrist | 166 Kinsley St Ste 201, Nashua, NH 03060 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376810143 | Allen Clark | Podiatrist | 17 Riverside St Ste 205, Nashua, NH 03062-1383 | 2011-11-22 |
| 1053397125 | David R. Kosofsky | Podiatrist | 166 Kinsley St Ste 201, Nashua, NH 03060-3676 | 2005-12-20 |
| 1649268285 | David Merrill Kaufmann | Podiatrist | 21 E Hollis St, Nashua, NH 03060-2928 | 2005-10-07 |
| 1720103864 | Nashua Podiatry Associates, Pllc | Podiatrist | 166 Kinsley St, Ste 201, Nashua, NH 03060-3676 | 2007-03-20 |
| 1669556692 | Howard John Bonenberger | Podiatrist | 17 Riverside St, Suite 205, Nashua, NH 03062-1304 | 2006-10-25 |
| 1013902345 | Howard J Bonenberger | Podiatrist | 17 Riverside St, #205, Nashua, NH 03062-1373 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942691829 | Alice Peck Day Memorial Hospital | Podiatrist | 20 W Park St Ste 320, Lebanon, NH 03766-1322 | 2015-02-12 |
| 1700067626 | William Richard Cingolani | Podiatrist | 130 Sligo Rd, Rollingsford, NH 03869 | 2007-11-20 |
| 1811025828 | Roderick John Bachmann | Podiatrist | 283 Weirs Rd, Unit #4, Gilford, NH 03249-6669 | 2007-03-01 |
| 1972645521 | Robert Eugene Otis | Podiatrist | 3 Lower Ladd Hill Road, Meredith, NH 03253-5825 | 2007-02-12 |
| 1174600217 | Seacoast Foot Surgery Assoc | Podiatrist | 330 Borthwick Avenue, Suite 112, Portsmouth, NH 03801 | 2006-11-01 |
| 1508966862 | Dana Peter Silver | Podiatrist | 129 D Mascoma Street, Lebanon, NH 03766 | 2006-09-25 |
| 1093726291 | Active Ankle & Foot Center Pllc | Podiatrist | 251 Elm St, Suite #3, Claremont, NH 03743-4921 | 2006-08-11 |
| 1669490793 | Jonathan P Pattavina | Podiatrist | 61 Summer St, Keene, NH 03431-3318 | 2006-07-17 |
| 1194768556 | Christopher Andrew Bush | Podiatrist | 1 Merrill Industrial Dr, Unit D-21, Hampton, NH 03842-1981 | 2006-06-14 |
| 1679521835 | Matthew L Burrell | Podiatrist | 144 Highland St, Plymouth, NH 03264-1240 | 2006-05-04 |
| Find all providers with the same taxonomy | ||||
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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.