MD Stephen M Waggoner, NPI 1871589283
Orthopaedic Surgery of the Spine Physician in Bartlett, TN, US

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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
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Primary Taxonomy

Taxonomy Code

207XS0117X

Taxonomy Name Orthopaedic Surgery of the Spine Physician
Classification

Orthopaedic Surgery

Group

Allopathic & Osteopathic Physicians

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.

Business Address

MD Stephen M Waggoner
3045 Kate Bond Rd

Bartlett, TN, US

Phone: 901-381-4664
Fax: 901-373-3804

Mailing Address

MD Stephen M Waggoner
6077 Primacy Pkwy Ste 140
Memphis, TN, US
ZIP 381195742
Phone: 901-259-1673
Fax: 901-259-7637

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207X00000X

Allopathic & Osteopathic Physicians

Orthopaedic Surgery

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

Other Providers in TN, US

NPI Name Taxonomy Address

1417615469

MRS. RN Emily Rae Johnson

Individual

Critical Care Medicine Registered Nurse

315 Hospital Dr

Madison, TN

1144944927

PHARMD Rebecca Brittany Clegg

Individual

Pharmacist

1430 S Roan St

Johnson City, TN

1538605498

Christopher Byrd

Individual

Pharmacist

4221 Maynardville Hwy

Maynardville, TN

1154882843

MD Shalacia Palmer Leblanc

Individual

Family Medicine Physician

3400 Lebanon Rd

Murfreesboro, TN

1306575014

DR. DNP, CRNA Mark Timothy Cresap

Individual

Certified Registered Nurse Anesthetist

7357 Lucky Clover Ln

Knoxville, TN

1366099269

Khumalo Foot And Ankle Clinic, Inc

Organization

Foot & Ankle Surgery Podiatrist

1109 E Reelfoot Ave Ste D

Union City, TN

1154053643

CCC-SLP Azjah Watson

Individual

Speech-Language Pathologist

70 Timber Creek Dr

Cordova, TN

1841915113

MS. DNP Ala'a Mitoubsi

Individual

Nurse Practitioner

1926 Alcoa Hwy

Knoxville, TN

1215652680

NEMT Olivia Williams

Individual

Non-emergency Medical Transport (VAN)

8097 Waterford Cir Apt 204

Memphis, TN

1306561774

Megan Nichole Trujillo

Individual

Behavior Technician

2740 Saint Andrews Dr

Murfreesboro, TN

1598727380

M.D. David D. Buckman

Individual

Family Medicine Physician

2320 Wilma Rudolph Blvd.

Clarksville, TN

1437874807

Ashley Myers

Individual

Registered Nurse

1211 Medical Center Dr

Nashville, TN

1477278844

Jessica Gomez

Individual

Behavior Technician

1727 N Germantown Pkwy Ste 107

Cordova, TN

1881736122

Park Center

Organization

Adult Mental Health Clinic/Center

1935 21st Ave S

Nashville, TN

1174056428

DR. M.D. Melissa Lynn Mckittrick

Individual

Pain Medicine (Anesthesiology) Physician

3400 Lebanon Rd

Murfreesboro, TN

1083339444

FNP-BC Misty Renee Nichols

Individual

Family Nurse Practitioner

2216 Rainbow Ln

New Market, TN

1376569210

MD Douglas Todd Cannon

Individual

Physical Medicine & Rehabilitation Physician

8000 Centerview Pkwy

Suite 500

Cordova, TN

1386369734

Dovamed Medical

Organization

Durable Medical Equipment & Medical Supplies

545 Mainstream Dr Ste 102

Nashville, TN

1487379830

Taylor Woods

Individual

Registered Nurse

6019 Walnut Grove Rd

Memphis, TN

1285909903

MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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