Organization Active NPI

Abraham Wagner DPM PA

  • Podiatrist
  • Miami, FL
National Provider Identifier
1821409343
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3262 Issued in FL
Legal business name
ABRAHAM WAGNER DPM PA
Practice address
8600 SW 92ND St
Suite 201
Miami, FL 33156-7397
Phone
(305) 652-6676
Fax
(305) 932-6335
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Abraham Wagner, DPM
Title
President
Phone
(305) 652-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO3262 FL Primary

Addresses

Primary practice location

8600 SW 92ND St
Suite 201
Miami, FL 33156-7397

Mailing address

21097 NE 27TH CT
Suite 200B
Aventura, FL 33180-1204
Phone (305) 652-6676

National Provider Directory

National Provider Directory

Locations

1045 Palm Ave
Hialeah, FL 33010
Phone (305) 733-5199

21097 NE 27th Ct
Ste 110
Miami, FL 33180
Phone (305) 384-4720

8600 SW 92nd St
Ste 201
Miami, FL 33156
Phone (305) 232-6565

201 Curtiss Pkwy
Miami Springs, FL 33166
Phone (305) 271-6311

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1821409343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT",
            "address_2": "SUITE 200B",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801204",
            "telephone_number": "305-652-6676",
            "fax_number": "305-932-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567397",
            "telephone_number": "305-652-6676",
            "fax_number": "305-932-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM WAGNER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-652-6676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.