Canonical ID: NK-52auorsZt252TtayBtRv9V · Entity type: Person (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Person:address | 101 KIMBALL ROAD, APT 79999, CARLISLE, MA 01741 | eng | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | |||
Person:address | 101 KIMBALL RD, CARLISLE, MA 01741 | ext_us_cms_npi | us-npi-1013052257 | ||||
Person:birthDate | 1947-11-04 | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | ||||
Person:country | us | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | ||||
Person:country | us | ext_us_cms_npi | us-npi-1013052257 | ||||
LegalEntity:country | us | us_ma_med_exclusions | us-medma-5b56f8a4682b620feffdb52de11526ac625fd554 | ||||
Person:firstName | FREDERICK | eng | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | |||
Person:firstName | FREDERICK | ext_us_cms_npi | us-npi-1013052257 | ||||
Person:id | 88e0a0a4f581582a5480a2b815e3a442f39f6b5f | ext_us_cms_npi | us-npi-1013052257 | ||||
Person:id | 29397709b8623ec5f9f55629c0eca28a1e797297 | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | ||||
LegalEntity:id | 05b9848e4de85b9598d0d795fe0bbcb3a8d7ca3f | us_ma_med_exclusions | us-medma-5b56f8a4682b620feffdb52de11526ac625fd554 | ||||
Person:lastName | WAGNER | eng | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | |||
Person:lastName | WAGNER | ext_us_cms_npi | us-npi-1013052257 | ||||
Person:middleName | J JR | eng | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | |||
Person:middleName | JOSEPH | ext_us_cms_npi | us-npi-1013052257 | ||||
Person:name | FREDERICK J JR WAGNER | eng | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | |||
LegalEntity:name | FREDERICK J WAGNER | eng | us_ma_med_exclusions | us-medma-5b56f8a4682b620feffdb52de11526ac625fd554 | |||
Person:name | FREDERICK JOSEPH WAGNER | ext_us_cms_npi | us-npi-1013052257 | ||||
Person:npiCode | 1013052257 | ext_us_cms_npi | us-npi-1013052257 | ||||
Person:npiCode | 1013052257 | eng | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | |||
LegalEntity:npiCode | 1013052257 | eng | us_ma_med_exclusions | us-medma-5b56f8a4682b620feffdb52de11526ac625fd554 | |||
Person:position | OPTOMETRY (IND- LIC HC SERV PRO) | eng | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | |||
Person:programId | US-HHS-OIG | eng | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | |||
LegalEntity:sector | OPTOMETRIST | eng | us_ma_med_exclusions | us-medma-5b56f8a4682b620feffdb52de11526ac625fd554 | |||
Person:title | MR. | ext_us_cms_npi | us-npi-1013052257 | ||||
Person:topics | debarment | us_hhs_exclusions | us-fed-excl-frederick-j-jr-wagner-01741-carlisle | ||||
LegalEntity:topics | debarment | us_ma_med_exclusions | us-medma-5b56f8a4682b620feffdb52de11526ac625fd554 | ||||