DR. WAYNE L WAGONER (NPI# 1508079138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508079138 |
| Entity Type | Individual |
| Full Name | DR. WAYNE L WAGONER |
| Credential | DPM |
| Practice Address |
515 Rosemere Ln Maquoketa IA 52060-2615 |
| Practice Telephone | 5636529777 |
| Practice Fax Number | 5636529778 |
| Mailing Telephone | 5636529777 |
| Mailing Fax Number | 5636529778 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00526 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1083683 | 05 |
| Street Address |
515 ROSEMERE LN |
| City | MAQUOKETA |
| State | IA |
| Zip Code | 52060-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568707446 | Wayne L. Wagoner, Dpm, PC | Clinic/Center | 515 Rosemere Ln, Maquoketa, IA 52060-2615 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222709 | Megan Elizabeth Vance | Counselor | 119 S Main St Ste 2, Maquoketa, IA 52060 | 2018-07-27 |
| 1750476669 | Joseph A Lechtenberg Jr. | Dentist | 129 W Pleasant St, Maquoketa, IA 52060 | 2006-10-04 |
| 1629018650 | Abby Lee Gehl | Dentist | 119 South Main Ste 1, Maquoketa, IA 52060 | 2006-06-07 |
| 1528015328 | Smiles On Main | Dentist | 119 South Main, Ste 1, Maquoketa, IA 52060 | 2006-05-27 |
| 1396794178 | Mary Virginia Schwartz | Counselor | 714 W Platt, Maquoketa, IA 52060 | 2006-05-09 |
| 1255392122 | David Scott Sybesma | Optometrist | 1408 43rd Street, Maquoketa, IA 52060 | 2006-03-30 |
| 1730669433 | Eyewear Gallery | Optometrist | 101 N Main St, Maquoketa, IA 52060 | 2018-08-21 |
| 1720579790 | Heinrich Chiropractic Pllc | Chiropractor | 620 S Main St, Maquoketa, IA 52060 | 2018-05-24 |
| 1598817173 | Clyde Daniel Overturff | Dentist | 204 N Arcade St, Maquoketa, IA 52060 | 2007-01-17 |
| 1275573206 | Salvador D Atienza | Dentist | 119 South Main, Ste 1, Maquoketa, IA 52060 | 2006-06-07 |
| Find all providers in zip 52060 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744749 | Foot and Ankle Specialists of Ames, LLC | Podiatrist | 1606 S Duff Ave Ste 500, Ames, IA 50010-8156 | 2020-09-11 |
| 1659842045 | Iowa Foot Care Center LLC | Podiatrist | 217 Duff Ave Ste 2, Ames, IA 50010-6609 | 2018-12-10 |
| 1114417078 | Heartland Foot & Ankle Clinic PC | Podiatrist | 2850 Mount Pleasant St Ste 103, Burlington, IA 52601-2002 | 2018-05-16 |
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1952846321 | Swfac Plc | Podiatrist | 631 N. 8th St., Missouri Valley, IA 51555 | 2016-12-21 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1578946018 | Donald Godfree Jr. | Podiatrist | 3600 30th St Dept Of, Des Moines, IA 50310-5753 | 2015-07-01 |
| 1811303480 | Jennifer Lee Hall | Podiatrist | 5950 University Ave Ste 160, West Des Moines, IA 50266 | 2014-07-03 |
| 1760894323 | Drew Michael Davidson | Podiatrist | 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 | 2014-05-29 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
| Find all providers with the same taxonomy | ||||
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| 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.