ADAM RICHARD WAGGONER


Address: 200 University Pkwy, Yakima, WA 98901-9539
Phone: 5094525100

ADAM RICHARD WAGGONER (NPI# 1538420351) 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) 1538420351
Entity Type Individual
Full Name ADAM RICHARD WAGGONER
Credential MD
Practice Address 200 University Pkwy
Yakima
WA 98901-9539
Mailing Address 1016 Tacoma Ave
Sunnyside
WA 98944-2263
Practice Telephone 5094525100
Mailing Telephone 5098371500
Enumeration Date 2012-06-07
Last Update Date 2020-02-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine OP60840174 WA Allopathic & Osteopathic Physicians

Other Providers ADAM WAGGONER

NPI Name Taxonomy Address Enumeration
1629453139 Adam Clark Waggoner Physical Therapist 408 Ne 72nd St, Seattle, WA 98115-5409 2015-07-26

Office Location

Street Address 200 UNIVERSITY PKWY
City YAKIMA
State WA
Zip Code 98901-9539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558969196 Maycee Gielow Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2020-10-15
1407466311 Kelcy A Jay Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2020-08-05
1336764810 Jingyi Gao Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2020-06-10
1053949735 Andrea Marie Westling Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2020-03-30
1518593474 Ian Wesley Smith Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2020-03-22
1205462975 Cheyenne Rahimi Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2020-03-13
1437799970 Kailee Marie Ramp Bond Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2020-01-13
1518516145 Mahelate Theodros Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2019-09-06
1134772924 Richard Dean Iverson Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2019-07-20
1598317141 Ashley Elizabeth Folkers Student in an Organized Health Care Education/Training Program 200 University Pkwy, Yakima, WA 98901-9539 2019-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162998 China Nwachukwu Pharmacist Buter-haney Hall, 200 University Pkwy, Yakima, WA 98901 2020-07-30
1760959290 Conswaylo Ann Fleek Counselor 120 S. 3rd Ave., Yakima, WA 98901 2018-11-02
1396212718 Nancy Fraser Counselor 120 S. 3rd Street, Yakima, WA 98901 2018-10-24
1386129021 John Scott Student in an Organized Health Care Education/Training Program Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 2018-09-28
1679051387 Toni Christine Fogli Counselor 2280 Ste. Rte. 821, Yakima, WA 98901 2018-08-03
1043798267 Amber Ann Couture Counselor 2280 Wa-821, Yakima, WA 98901 2018-07-31
1992201982 Etienne Galbreath Student in an Organized Health Care Education/Training Program Butler-haney Hall, 200 University Pkwy, Yakima, WA 98901 2018-03-30
1619490737 Christine M Armijo Massage Therapist 1001 University Parkway, Yakima, WA 98901 2017-07-20
1366970048 Jose Antonio Mendoza Dentist 12 S 8t Hst, Yakima, WA 98901 2017-05-25
1982156501 David Burkett Counselor 315 N. 2nd Street, Yakima, WA 98901 2016-10-31
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245286673 John Raymond Zambito Emergency Medicine 110 South 9th Avenue, Yakima, WA 98902-3315 2006-05-26
1487613683 Ashwin K. Shetty Emergency Medicine 4811 Snowmountain Rd, Yakima, WA 98908-2848 2006-03-17
1184605347 Chatt Allan Johnson Emergency Medicine 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 2005-11-07
1902334246 Ahtanum Ridge Emergency Physicians LLC Emergency Medicine 110 S 9th Ave, Yakima, WA 98902 2017-05-31
1891195889 Bradley Blakley Emergency Medicine 2811 Tieton Dr, Yakima, WA 98902-3761 2014-08-27
1053750430 Kristin Shnowske Emergency Medicine 2811 Tieton Dr, Yakima, WA 98902-3761 2013-06-19
1265879993 Jeffrey Michael Papazian Emergency Medicine 2811 Tieton Dr, Yakima, WA 98902-3761 2013-06-04
1790121242 Brett Anthony Hayzen Emergency Medicine 2811 Tieton Dr, Yakima, WA 98902-3761 2013-05-10
1518203520 Washington Emergency Physician Partners Pllc Emergency Medicine 110 S 9th Ave, Yakima, WA 98902-3315 2012-12-19
1154611689 Jeremy Hutchins Emergency Medicine 2811 Tieton Dr, Yakima, WA 98902-3761 2011-04-18
Find all providers in YAKIMA

Competitor

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City YAKIMA
Zip Code 98901

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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.

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