Abraham Wagner, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 3262 Issued in FL

Practice address

3700 Washington St Ste 403
Hollywood, FL 33021-8249

Phone

(954) 922-7333

Fax

(954) 248-6925

NPI assigned

Jan 16, 2007

Last updated

May 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Interoperability endpoints

• Direct secure messaging: wghawagne@yourcarecommunity.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1073664132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 403",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218249",
            "telephone_number": "954-922-7333",
            "fax_number": "954-248-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 403",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218249",
            "telephone_number": "954-922-7333",
            "fax_number": "954-248-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Vorobiof, MD
• Paula H Vulcain, L.M.T.
• Michel Vulfovich, M.D.
• Trinh Le Vuong, PHARM.D.
• Dylan Ambrose Wadell, MD
• Edward Steven Wagner, MD
• Jason Fredrick Wagner, APRN, LMHC, MCAP
• William Wagner, M.D.
• Estrella N/a Wahnich
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3163)

• Podiatrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.