STEPHEN M WAGGONER (NPI# 1871589283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871589283 |
| Entity Type | Individual |
| Full Name | STEPHEN M WAGGONER |
| Credential | MD |
| Practice Address |
3045 Kate Bond Rd Bartlett TN 38133-4004 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
| Practice Telephone | 9013814664 |
| Practice Fax Number | 9013733804 |
| Mailing Telephone | 9012591673 |
| Mailing Fax Number | 9012597637 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD0000025610 | TN | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
25610 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | 00760197 | 01 |
| TN | 1514471 | 05 | |
| BCBSARK | 96879 | 01 | |
| UNITED HEALTH | 0547878 | 01 | |
| CIGNA | 2580550 | 01 | |
| DOL | 0151139 | 01 | |
| TN | BCBS OF TN | 4228383 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4515 Poplar Ave Ste 206, Memphis, TN 381177506 | 9017286916 | 9013733804 |
| 8040 Wolf River Blvd Ste 100, Germantown, TN 381381773 | 9013814664 | 9013733804 |
| Street Address |
3045 KATE BOND RD |
| City | BARTLETT |
| State | TN |
| Zip Code | 38133-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023260 | Arsen H Manugian | Orthopaedic Surgery | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2005-09-15 |
| 1639779242 | Anna Garrett Terry | Occupational Therapist | 3045 Kate Bond Rd, Bartlett, TN 38133 | 2020-11-01 |
| 1912513987 | Jacquelyn Dan-phung Nguyen | Physician Assistant | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2020-09-16 |
| 1922625680 | David Matthew Hiegel | Physical Therapist | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2020-06-29 |
| 1497379622 | Kenneth Pate Bishop | Physical Therapist | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2020-06-03 |
| 1306485917 | John Connor Coalter | Physician Assistant | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2019-12-30 |
| 1922523026 | Franklin Chase Crumpton | Physician Assistant | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2017-08-09 |
| 1205356565 | Lacy Dawn Johnson | Physician Assistant | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2017-06-27 |
| 1558512178 | Msk Group, PC | Physical Therapist | 3045 Kate Bond Rd, Bartlett, TN 38133 | 2008-10-01 |
| 1841470176 | Jonathan Michael Stuart | Physical Medicine & Rehabilitation | 3045 Kate Bond Rd, Bartlett, TN 38133 | 2007-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256048 | Comprehensive Spine Institute | Orthopaedic Surgery | 1206 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-4143 | 2019-07-08 |
| 1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
| 1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
| 1124536008 | Spine Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300a, Memphis, TN 38120-4032 | 2018-01-13 |
| 1851809735 | Joint Replacement Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300b, Memphis, TN 38120-4032 | 2018-01-13 |
| 1518233501 | Eric L Emanski | Orthopaedic Surgery | 1736 Gunbarrel Road, Chattanooga, TN 37421-2268 | 2012-03-24 |
| 1821046459 | James M Fish | Orthopaedic Surgery | 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167-6800 | 2006-05-05 |
| 1366417396 | James M Osborn | Orthopaedic Surgery | 102 Dunhill Pl Nw, Suite A, Cleveland, TN 37311-3885 | 2006-02-22 |
| 1619942091 | Richard G Pearce | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2006-02-21 |
| 1386631976 | Patrick M Curlee Sr. | Orthopaedic Surgery | 3087 Professional Plz, Germantown, TN 38138-7912 | 2005-09-29 |
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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.