JOHN P WAGGONER (NPI# 1104320076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104320076 |
| Entity Type | Individual |
| Full Name | JOHN P WAGGONER |
| Credential | MD |
| Practice Address |
34800 Bob Wilson Dr San Diego CA 92134-1098 |
| Mailing Address |
9915 Rue Chantemar San Diego CA 92131-3205 |
| Practice Telephone | 6198189891 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A164955 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730354986 | John Craig Waggoner | Pharmacist | 510 Coronado St, Bonner Springs, KS 66012-1203 | 2008-04-29 |
| 1699336867 | John Ross Waggoner | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-27 |
| 1255779922 | John Hastings Waggoner | Physical Therapist | 2005 Avalon Ave, Muscle Shoals, AL 35661-3188 | 2013-06-04 |
| 1013352194 | John Robert Waggoner Jr. | Counselor | 4455 E 12th Ave, Denver, CO 80220-2415 | 2013-05-03 |
| 1710040886 | John Wesley Waggoner | Clinical Neuropsychologist | 2200 Bergquist Dr, 59 Mhs/sgowmp - Neuropsychology, 4th Floor, Lackland A F B, TX 78236-9907 | 2006-12-19 |
| 1922053016 | John W. Waggoner IIi | Internal Medicine | 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195 | 2006-05-24 |
| Street Address |
34800 BOB WILSON DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235134 | Willie S Chao | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2005-06-16 |
| 1023625571 | Samantha Savite | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-29 |
| 1588270326 | Angelina Yvette Harris | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-17 |
| 1275149296 | Alexa Werner | Physical Therapist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-16 |
| 1376157164 | Toure Marlow Hinton | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-31 |
| 1316550106 | John K Housinga | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-31 |
| 1073126249 | Alfredo Carrillo | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-27 |
| 1326651647 | Daniel Adan Denge | Registered Nurse | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-26 |
| 1275146664 | Zachariah Jacob Charles Boydsnee | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-26 |
| 1245843820 | Nikole Lanchares | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650187 | Jb Ortho, Inc. | Orthopaedic Surgery | 4060 Fourth Ave Ste 630, San Diego, CA 92103-2118 | 2020-05-14 |
| 1962794198 | William Kent | Orthopaedic Surgery | 200 W Arbor Dr., San Diego, CA 92103 | 2011-05-05 |
| 1194014258 | Jaysson Trevor Brooks | Orthopaedic Surgery | 3030 Childrens Way Fl 3, San Diego, CA 92123-4232 | 2011-03-29 |
| 1821227463 | Robert K. Eastlack Md Inc | Orthopaedic Surgery | 5265 Amber View Pt, San Diego, CA 92130-6933 | 2009-07-03 |
| 1568627602 | Adam M Holleran | Orthopaedic Surgery | 2930 Barnard St Unit 7301, San Diego, CA 92110-5729 | 2008-07-28 |
| 1356505705 | Michael Lucius Pomerantz | Orthopaedic Surgery | 4445 Eastgate Mall Ste 105, San Diego, CA 92121 | 2008-07-15 |
| 1962660928 | Nilofar Faghihnia | Orthopaedic Surgery | 425 W Beech St Unit 1306, San Diego, CA 92101-2961 | 2008-05-27 |
| 1700074127 | Jeremy Bell Mccandless | Orthopaedic Surgery | 4060 4th Ave Ste 700, San Diego, CA 92103-2121 | 2007-10-10 |
| 1043418759 | Oke Adrian Anakwenze | Orthopaedic Surgery | 3750 Convoy St Ste 201, San Diego, CA 92111-3770 | 2007-07-03 |
| 1205996097 | Harish Sadanand Hosalkar | Orthopaedic Surgery | 15151 Almond Orchard Ln, San Diego, CA 92131-4328 | 2006-12-11 |
| Find all providers in SAN DIEGO | ||||
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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.