Wayne L Wagoner is a Podiatrist in Maquoketa, Iowa. Wayne L Wagoner practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Wayne L Wagoner is 1508079138. The last update date is 2007-07-08.
Wayne L Wagoner's current location address is 515 Rosemere Ln, Maquoketa, Iowa. You can contact this provider via phone number 5636529777 and fax number 5636529778. The mailing address for Wayne L Wagoner is 515 Rosemere Ln, Maquoketa, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne L Wagoner |
|---|---|
| Address | 515 Rosemere Ln, Maquoketa, Iowa |
| Phone Number | 5636529777 |
| Fax Number | 5636529778 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1508079138 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 515 Rosemere Ln |
|---|---|
| City | Maquoketa |
| State | Iowa (IA) |
| Post Code | 520602615 |
| Phone Number | 5636529777 |
| Fax Number | 5636529778 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 526 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1083683 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wayne L Wagoner by the Centers for Medicare & Medicaid Services?
The Wayne L Wagoner has been issued the NPI (National Provider Identifier) 1508079138, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Wayne L Wagoner?
The Wayne L Wagoner is physically situated at 515 Rosemere Ln, in the city of Maquoketa, state of IA, with the postal code 520602615.
What is Wayne L Wagoner'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 Wayne L Wagoner is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did Wayne L Wagoner receive its 1508079138 assignment from the Centers for Medicare & Medicaid Services?
The Wayne L Wagoner was assigned its 1508079138 on 2007-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Wayne L Wagoner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wayne L Wagoner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.