Jon Anthony Wagnon (NPI# 1265623268, PAC ID# 0345300596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1265623268 |
| PAC ID by PECOS | 0345300596 |
| Professional Enrollment ID | I20081118000860 |
| Full Name | Jon Anthony Wagnon |
| Address |
1368 Dadrian Professional Park Godfrey IL 62035-1685 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141350 | ST FRANCIS HOSPITAL |
| 140002 | ALTON MEMORIAL HOSPITAL |
| 140052 | OSF SAINT ANTHONY'S HEALTH CENTER |
| 140059 | JERSEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1368 Dadrian Professional Park, Godfrey, IL 62035-1685 | ||
| 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2173242191 | IHC LITCHFIELD EMERGENCY PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 85% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 8% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 25% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 3% |
| Street Address |
1368 DADRIAN PROFESSIONAL PARK |
| City | GODFREY |
| State | IL |
| Zip | 62035-1685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coldore Joseph Hopper Iv | Qualified Audiologist | 1344 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| Andrew J Woulfe | Chiropractic | 1316 Dadrian Professional Park, Godfrey, IL 62035-1685 | |
| Sadiq Mohyuddin | Internal Medicine | 1309 Dadrian Professional Park, Godfrey, IL 62035-1686 | |
| Brianna M Fritsch | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Lori Behrens | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Kristi A Lemley | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Patricia Gregory | Clinical Social Worker | Calm Waters Counseling and Resource Center Inc | 5090 Humbert Rd, Godfrey, IL 62035-1951 |
| Debbie L Kelly | Nurse Practitioner | Clinical Research Associates PC | 6301 Humbert Rd, Godfrey, IL 62035-2163 |
| Melissa G Kulp | Nurse Practitioner | Osf Multi-specialty Group | 6702 Godfrey Rd, Godfrey, IL 62035-2205 |
| Angelina M Leitschuh | Nurse Practitioner | Osf Multi-specialty Group | 6702 Godfrey Rd, Godfrey, IL 62035-2205 |
| Find all physicians in zip 62035 | |||
| City | GODFREY |
| Zip Code | 62035 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | GODFREY + OSTEOPATHIC MANIPULATIVE MEDICINE |
Please comment or provide details below to improve the information on Jon Anthony Wagnon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.