DR. CARL WAGGONER


Address: 1272 W Main St, Bldg. 5, Newark, OH 43055-2034
Phone: 7403481788

DR. CARL WAGGONER (NPI# 1043218068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043218068
Entity Type Individual
Full Name DR. CARL WAGGONER
Credential MD
Practice Address 1272 W Main St
Bldg. 5
Newark
OH 43055-2034
Practice Telephone 7403481788
Practice Fax Number 7403481789
Mailing Telephone 7403481788
Mailing Fax Number 7403481789
Enumeration Date 2005-07-13
Last Update Date 2010-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 35-043176 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH FIRST HEALTH 1822763 01
OH AETNA 4400430 01
OH 416615 05
OH UHC 0101480 01

Office Location

Street Address 1272 W MAIN ST
BLDG. 5
City NEWARK
State OH
Zip Code 43055-2034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073822938 Licking Memorial Professional Corp Internal Medicine 1272 W Main St, Bldg 2 Ste 3, Newark, OH 43055-2004 2010-09-27
1134430887 Read's Pharmacy LLC Pharmacy 1272 W Main St, Newark, OH 43055-2004 2010-06-28
1396905584 Christopher Matthew Forbush Family Medicine 1272 W Main St, Suite 503, Newark, OH 43055 2008-06-11
1932389335 Newark Orthopaedics,inc. Orthopaedic Surgery 1272 W Main St, Building 2, Newark, OH 43055-2004 2007-11-14
1831381706 Licking Memorial Professional Corporation Surgery 1272 W Main St, Bldg. 2, Newark, OH 43055-2004 2007-08-15
1871654681 Paul Norman Montalto Family Medicine 1272 W Main St, Suite 2, Newark, OH 43055-2004 2006-12-13
1063580199 Catherine Chiodo Podiatrist 1272 W Main St, Building #4, Newark, OH 43055-2004 2006-11-30
1063518926 Michael Bradshaw Vitt Dentist 1272 W Main St, Bldg 3, Newark, OH 43055-2004 2006-09-16
1336169770 Licking Memorial Professional Corporation Family Medicine 1272 W Main St, Bldg. 1, Newark, OH 43055-2004 2006-07-20
1366461386 Licking Memorial Professional Corp. Surgery 1272 W Main St, Bldg. 3, Newark, OH 43055-2004 2006-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770125585 Jessica Danielle Dunkle Case Manager/Care Coordinator 15 N 3rd Street Suite 300, Newark, OH 43055 2019-10-14
1558910331 Diana Cleland Home Health Aide 25 Western Rd, Apartment A, Newark, OH 43055 2019-09-05
1912424789 Sandra Lou Fraley Community/Behavioral Health 15 North 3rd Street, Suite 300, Newark, OH 43055 2017-08-23
1215450911 Caitlyn Thella Smith Elkins Social Worker 15 N. 3rd St., Newark, OH 43055 2017-07-25
1992227888 Sierra Elizabeth Donley Student in an Organized Health Care Education/Training Program 140 W Church St, Newark, OH 43055 2017-07-12
1386170587 Patricia Louise Fischer Pharmacist 1155 North 21rst Street, Newark, OH 43055 2017-05-08
1689120958 Bebout Services, LLC Home Health 1325 Dayton Road Ne, Newark, OH 43055 2016-08-28
1750834594 Laura Smith Registered Nurse 1445 West Main Street, Suite B, Newark, OH 43055 2016-07-28
1164807277 Frank Kobe Psychologist 116 N. 21st Street, Newark, OH 43055 2015-07-30
1770975898 Gentle Foot Care, Inc Podiatrist 1271 W Main Street, Bldg 1, Newark, OH 43055 2015-02-26
Find all providers in zip 43055

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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 is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104461763 Ginna Elizabeth Keil Family Medicine 16 Polly Drummond Shpg Ctr Ste 2, Newark, DE 19711-4861 2019-11-07
1386290609 Corisa Mccloud Family Medicine 1025 Lawnview Ave, Newark, OH 43055-2611 2019-08-13
1811408172 Bmg Newark LLC Family Medicine 794 Mount Prospect Ave Fl 2, Newark, NJ 07104-3221 2017-10-13
1982093852 Physicians Care of Newark, Inc Family Medicine 68 Omega Dr, Suite D, Newark, DE 19713-2063 2015-01-15
1316365646 Emmanuelle Ruocco Family Medicine 90 Bergen St Ste 300, Newark, NJ 07103-2425 2014-04-03
1366886368 Amanda J Taylor Family Medicine 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 2013-04-20
1033477104 Ironbound Family Medicine LLC Family Medicine 154 Van Buren St, 1st Floor, Newark, NJ 07105-2984 2012-04-26
1164790002 St. Francis Hospital, Inc Family Medicine 1220 Capitol Trl, Newark, DE 19711-3924 2011-12-07
1255624896 Carlos Alfonso Sanchez Family Medicine 617 Broad St, Newark, NJ 07102-4403 2011-05-16
1306072947 Glenda Albizu Family Medicine 300 Biddle Ave Ste 200, Newark, DE 19702 2009-06-10
Find all providers in NEWARK

Competitor

Search similar providers

City NEWARK
Zip Code 43055

Improve Information

Please comment or provide details below to improve the information on DR. CARL WAGGONER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches