MOLLY ANN WAGGONER (NPI# 1225653967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225653967 |
| Entity Type | Individual |
| Full Name | MOLLY ANN WAGGONER |
| Credential | PA-C |
| Practice Address |
9050 Executive Park Dr Ste 100b Knoxville TN 37923-4616 |
| Mailing Address |
379 Mike Miller Ln Clinton TN 37716-6545 |
| Practice Telephone | 8652171297 |
| Mailing Telephone | 8656608236 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4115 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9050 EXECUTIVE PARK DR STE 100B |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1164942355 | Debra Lynn Howard | Physician Assistant | 9314 Park West Blvd Ste 100, Knoxville, TN 37923-4338 | 2017-06-20 |
| 1255702635 | Community Healthcare | Physician Assistant | 507 N Cedar Bluff Rd, Knoxville, TN 37923-2805 | 2015-10-12 |
| 1053653220 | Amber L. Burns | Physician Assistant | 501 20th St Ste 303, Knoxville, TN 37916-1899 | 2013-03-26 |
| 1497044671 | Katie Bean | Physician Assistant | 8025 Kingston Pike Ste 1, Knoxville, TN 37919-5582 | 2011-03-28 |
| 1861704371 | Prodigal Primary Care PC | Physician Assistant | 2911 Essary Road, Knoxville, TN 37918-2468 | 2010-07-13 |
| 1336476159 | George F. Hillegas IIi | Physician Assistant | 3904 Lonas, Pa Program South College, Knoxville, TN 37909 | 2009-11-16 |
| 1225263353 | Douglas E Lillifield | Physician Assistant | 431 Park Village Dr Ste 103, Knoxville, TN 37923 | 2009-05-19 |
| 1720263213 | Leslie Anne Heller | Physician Assistant | 814 E Woodland Ave, Knoxville, TN 37917-5648 | 2008-01-03 |
| 1275720492 | Phillip Darrell Kirkland | Physician Assistant | 8115 Beaver Ridge Rd, Knoxville, TN 37931-3314 | 2007-10-02 |
| Find all providers in KNOXVILLE | ||||
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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.