Julian R Waggoner Iii (NPI# 1447239645, PAC ID# 4284777343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1447239645 |
| PAC ID by PECOS | 4284777343 |
| Professional Enrollment ID | I20100211000490 |
| Full Name | Julian R Waggoner Iii |
| Organization Legal Name | AMERICAN ANESTHESIOLOGY OF MINNESOTA PA |
| Address |
200 State Ave Faribault MN 55021-6339 |
| Phone Number | 5073346451 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9335053842 |
| Number of Group Practice Members | 153 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240069 | OWATONNA HOSPITAL |
| 240071 | DISTRICT ONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8100 W 78th St, Suite 220, Edina, MN 55439-2568 | 9529148400 | AMERICAN ANESTHESIOLOGY OF MINNESOTA PA |
| 200 State Ave, Faribault, MN 55021-6339 | 5073346451 | AMERICAN ANESTHESIOLOGY OF MINNESOTA PA |
| 2250 Nw 26th St, Owatonna, MN 55060-5503 | 5074513850 | AMERICAN ANESTHESIOLOGY OF MINNESOTA PA |
| Organization Legal Name | AMERICAN ANESTHESIOLOGY OF MINNESOTA PA |
| Physicians | 123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Erickson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Robert E Mcklveen | Anesthesiology | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Deborah E Mickley | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Rita Marie Price | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Betty Jane Kemper | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Christopher James Behrens | Anesthesiology | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Andrew L Wilkey | Anesthesiology | American Anesthesiology of Minnesota Pa | 200 State Ave, Faribault, MN 55021-6339 |
| Jason F Heuer | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Amy Swartz | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Sharon M Kroll | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Minnesota Pa | 800 E 28th St, Minneapolis, MN 55407-3723 |
| Street Address |
200 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip | 55021-6339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxfield Daniel Richardson | General Surgery | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Andrew L Wilkey | Anesthesiology | American Anesthesiology of Minnesota Pa | 200 State Ave, Faribault, MN 55021-6339 |
| Tanveer-e-fatema Roshanali Hassam | Hospitalist | Mayo Clinic Health System Southeast Minnesota Region | 200 State Ave, Faribault, MN 55021-6339 |
| Dena M Hoffman | Certified Registered Nurse Anesthetist (crna) | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Camille Rice | Anesthesiology | American Anesthesiology of Minnesota Pa | 200 State Ave, Faribault, MN 55021-6339 |
| Elizabeth Fetzer | Obstetrics/gynecology | Mayo Clinic Health System Southeast Minnesota Region | 200 State Ave, Suite 2, Faribault, MN 55021-6339 |
| Patricia A Gordon | Anesthesiology | American Anesthesiology of Minnesota Pa | 200 State Ave, Faribault, MN 55021-6339 |
| Trent R Steenblock | Podiatry | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Charles O Gensmer | Internal Medicine | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Mckensie M Sawyer | Certified Registered Nurse Anesthetist (crna) | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murray H Hanson | Optometry | Eye Clinic of Faribault, Pa | 2500 - 14th St Ne, Faribault, MN 55021-2514 |
| Paul H Hougan | Physical Therapy | 1620 Nw 17th St, Faribault, MN 55021-2839 | |
| Steven W Potter | Chiropractic | 1620 Nw 17th St, Faribault, MN 55021-2839 | |
| Francine M Kovash | Physical Therapy | Therapy Werks Pa | 1620 Nw 17th St, Faribault, MN 55021-2839 |
| Angella Lynn Schaefer | Optometry | Eye Clinic of Faribault, Pa | 1575 Nw 20th St, Faribault, MN 55021-2930 |
| Andrea Berube | Certified Registered Nurse Anesthetist (crna) | 1575 20th St Nw, 205a, Faribault, MN 55021-2930 | |
| Michael G Richie | Ophthalmology | Eye Clinic of Faribault, Pa | 1575 Nw 20th St, Faribault, MN 55021-2930 |
| Misty J Piller | Optometry | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Sandra K Paddock | Nurse Practitioner | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Bruce V Gustafson | Optometry | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Find all physicians in zip 55021 | |||
| City | FARIBAULT |
| Zip Code | 55021 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | FARIBAULT + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Julian R Waggoner Iii.
| 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.