Carl Waggoner is a Family Medicine in Newark, Ohio. Carl Waggoner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Carl Waggoner is 1043218068. The last update date is 2010-06-21.
Carl Waggoner's current location address is 1272 W Main St, Newark, Ohio. You can contact this provider via phone number 7403481788 and fax number 7403481789. The mailing address for Carl Waggoner is 1272 W Main St, Newark, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carl Waggoner |
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Address | 1272 W Main St, Newark, Ohio |
Phone Number | 7403481788 |
Fax Number | 7403481789 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1043218068 |
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Provider Enumeration Date | 2005-07-13 |
Last Updated Date | 2010-06-21 |
Provider Mailing Address Detail
Address | 1272 W Main St |
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City | Newark |
State | Ohio (OH) |
Post Code | 430552034 |
Phone Number | 7403481788 |
Fax Number | 7403481789 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 35-043176 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
101480 | OH | UHC | |
1822763 | OH | FIRST HEALTH | |
416615 | OH | -- | |
4400430 | OH | AETNA |
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What is the unique 10-digit identification code issued to Carl Waggoner by the Centers for Medicare & Medicaid Services?
The Carl Waggoner has been assigned the NPI (National Provider Identifier) 1043218068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Carl Waggoner?
The Carl Waggoner is situated at 1272 W Main St, in the city of Newark, state of OH, with the zip code 430552034.
What is Carl Waggoner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carl Waggoner is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043218068 to Carl Waggoner?
The Centers for Medicare & Medicaid Services originally issued the 1043218068 to Carl Waggoner on 2005-07-13.
As of what date were the details pertaining to Carl Waggoner last refreshed?
The information related to the Carl Waggoner, including its address, specialty, and other relevant details, was last updated on 2010-06-21.