TIMOTHY MICHAEL WAGNER
NPI 1164201646
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since September 25, 2023
200 LAKEFRONT BLVD, BUFFALO, NY 14202(716) 383-4245 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Michael Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY MICHAEL WAGNER (NPI 1164201646) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1164201646
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY MICHAEL WAGNER
Location Address200 LAKEFRONT BLVDBuffalo, NY 14202-4355
Mailing Address200 Lakefront BlvdBuffalo, NY 14202-4355 · (716) 383-4245
Sole ProprietorNo
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1164201646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 LAKEFRONT BLVD, Buffalo, NY 14202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Wagner's NPI number?

The NPI number for Timothy Wagner is 1164201646. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Timothy Wagner located?

Timothy Wagner practices at 200 Lakefront Blvd, Buffalo, NY 14202. The listed phone number is (716) 383-4245.

What is Timothy Wagner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Timothy Wagner was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.