Andrew John Wagner, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY2262 Issued in FL

Practice address

3170 N Federal Hwy Ste 115
Lighthouse Point, FL 33064-6786

Phone

(954) 943-9020

NPI assigned

May 9, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Audiology Distribution, LLC

  dba HearUSA

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998

  FL

  Medicare reassignment NPD
• Hearusa Inc

  • Audiologist-Hearing Aid Fitter
  • West Palm Beach, FL
  • NPI 1073560231
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1861058315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY STE 115",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646721",
            "telephone_number": "954-943-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY STE 115",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646786",
            "telephone_number": "954-943-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trucare National LLC (Interactive Meds Systems)
• Dara Tuckfelt-Spey, PSY.D.
• Marcell Gabor Veszelovszky, DC
• Maxwell Christopher Voce
• Waden E Emery III M D P a
• Jada Walker
• Kimberly Ann White, M.S.-CCC-A
• Bradley Samual Wiener, RPH
• Nancy Wiley, D.D.S., M.S.
• Winiarski Spine and Rehab Center LLC (Lighthouse Chiropractic)

• Audiologist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.