Dr. Herbert Wagemaker , MD
Specialist • Ponte Vedra, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Herbert Wagemaker has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Herbert Wagemaker, MD was a registered Specialist practicing in Ponte Vedra, FL. Throughout an active medical career spanning 15 years, Dr. Wagemaker provided care at the practice location at 2201 SAWGRASS VILLIAGE DR until profile deactivation on 2022-09-21.
Practice Location & Contact Primary Location
2201 Sawgrass Villiage Dr
Ponte Vedra, FL 32082
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Ponte Vedra, FL
Practicing in Ponte Vedra, FL (3036 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 21, 2022
NPI status registered as active in NPPES database
Registered at 2201 SAWGRASS VILLIAGE DR, PONTE VEDRA, FL 32082 (Tel: 9042809275)
Registered at 200 EXECUTIVE WAY, PONTE VEDRA, FL 32082 (Tel: 9042809275)
Recorded as HERBERT WAGEMAKER, M.D.
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
200 Executive Way
Ponte Vedra, FL 32082
Phone: 9042809275
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