MD Stephen M Waggoner, NPI 1871589283
Orthopaedic Surgery of the Spine Physician in Bartlett, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1871589283 |
| NPI Entity Type | Individual |
| Provider Name | MD Stephen M Waggoner |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 3045 Kate Bond Rd, Bartlett, TN, US |
| Provider Mailing Address | 6077 Primacy Pkwy Ste 140, Memphis, TN, US, 381195742 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Orthopaedic Surgery of the Spine Physician |
| Classification | |
| Group | |
| License No. | 25610 |
| License State | TN |
| Description | Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| MD0000025610 | TN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2580550 | CIGNA | 01 | |
| 00760197 | TN | RR MEDICARE | 01 |
| 0151139 | DOL | 01 | |
| 0547878 | UNITED HEALTH | 01 | |
| 96879 | BCBSARK | 01 | |
| 1514471 | TN | MEDICAID | 05 |
| 4228383 | TN | BCBS OF TN | 01 |
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Park Center Organization |
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DR. M.D. Melissa Lynn Mckittrick Individual |
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FNP-BC Misty Renee Nichols Individual |
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MD Douglas Todd Cannon Individual |
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Dovamed Medical Organization |
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Taylor Woods Individual |
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MRS. PA-C Brittany C Smith Individual |
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