SAMINA M WAGGONER (NPI# 1750350948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750350948 |
| Entity Type | Individual |
| Full Name | SAMINA M WAGGONER |
| Other Name | SAMINA T MAJID |
| Credential | M.D. |
| Practice Address |
718 Glenview Ave Highland Park Hospital Highland Park IL 60035 |
| Mailing Address |
718 Glenview Avenue Highland Park Hospital Highland Park IL 60035 |
| Practice Telephone | 8474802833 |
| Practice Fax Number | 8474802675 |
| Mailing Telephone | 8474802833 |
| Mailing Fax Number | 8474802675 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036112866 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP BLUE SHIELD NUMBER | 021622158 | 01 |
| IL | 036112866 | 05 |
| Street Address |
718 GLENVIEW AVE HIGHLAND PARK HOSPITAL |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750400206 | Northshore University Healthsystem | Pharmacy | 718 Glenview Ave, Pharmacy Department, Highland Park, IL 60035-2432 | 2007-03-28 |
| 1598809055 | Bernadette Skladzien | Nurse Anesthetist, Certified Registered | 718 Glenview Ave, Dept of Anesthesia, Highland Park, IL 60035-2432 | 2007-02-17 |
| 1790842904 | Carol Ann Rosenberg | Internal Medicine | 718 Glenview Ave, Rm 1170, Donna Golchert, Highland Park, IL 60035-2432 | 2007-01-03 |
| 1104988815 | Gloria J Newton | Physical Therapist | 718 Glenview Ave, Highland Park, IL 60035-2432 | 2006-12-16 |
| 1467513630 | Mart Jalakas | Emergency Medicine | 718 Glenview Ave, Emergency Department, Highland Park, IL 60035 | 2006-12-12 |
| 1750440186 | Robert Rosencrans | Student in an Organized Health Care Education/Training Program | 718 Glenview Ave, Department of Pathology, Highland Park, IL 60035-2432 | 2006-12-08 |
| 1679631931 | Bruce A. Harris | Emergency Medicine | 718 Glenview Ave, Emergency Department, Highland Park, IL 60035 | 2006-12-05 |
| 1982786091 | Maryann Deleon | Pediatrics | 718 Glenview Ave, Suite 2sw, Highland Park, IL 60035-2432 | 2006-10-19 |
| 1225139355 | Kathleen Mary Mcchristian | Nurse Anesthetist, Certified Registered | 718 Glenview Ave, Department of Anesthesia, Highland Park, IL 60035-2432 | 2006-09-25 |
| 1629176268 | Sean Corbett | Nurse Anesthetist, Certified Registered | 718 Glenview Ave, Dept of Anesthesia, Highland Park, IL 60035-2432 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922445519 | Robert Jay Parr | Pediatrics | 338 Sumac Rd, Highland Park, IL 60035-4444 | 2013-05-23 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1780784892 | Robert Biener | Pediatrics | 85 Raritan Ave, Suite 410, Highland Park, NJ 08904-2439 | 2006-09-25 |
| 1699205724 | Claire Emery Hailey | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-06-12 |
| 1164959342 | Karyn Michelle Gerstle | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2017-05-18 |
| 1023479946 | Maxie I Turim | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2016-03-20 |
| 1619219011 | Athra Kaviani | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2013-03-23 |
| 1699070540 | Nasreen Fatima Ahmed | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2011-01-24 |
| 1770751711 | Highland Park Pediatrics | Pediatrics | 85 Raritan Ave, Suite 410, Highland Park, NJ 08904-2439 | 2008-02-12 |
| 1245447119 | Shweta M Stuart | Pediatrics | 777 Park Ave W, Highland Park, IL 60035-2433 | 2007-05-17 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
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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.