Felicia A Wagman, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME130060 Issued in FL

Practice address

8340 Lakewood Ranch Blvd Ste 210
Lakewood Ranch, FL 34202

Phone

(941) 782-2800

Fax

(941) 782-2513

NPI assigned

Jun 30, 2006

Last updated

Jun 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walter F. Evans, II, MD, PA

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1104927490
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1194753681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATTN: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "941-782-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD STE 210",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-782-2800",
            "fax_number": "941-782-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4003 Mariner Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "34609",
            "country_code": "US",
            "telephone_number": "352-263-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4003 Mariner Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "34609",
            "country_code": "US",
            "telephone_number": "352-263-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGMAN",
        "first_name": "FELICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L3174",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME130060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "202059124",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raffaela M a Villella, DC
• Christopher Vinagre
• Vivek V Kumar DO LLC
• Carol A Vogel, L.M.T.
• Julionn Volcy
• Jeffrey Frank Wagner, RPH
• Mary Abigail Wagner, LMHC
• Melanie Janette Wahl, MD
• Walgreen Co (Walgreens #06135)
• Walgreen Co (Walgreens #12102)

• Obstetrics & Gynecology Physician in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.