JEANNETTE WAGNER WALDRON (NPI# 1851488464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851488464 |
| Entity Type | Individual |
| Full Name | JEANNETTE WAGNER WALDRON |
| Other Name | JEANNETTE MARIE WAGNER |
| Credential | MD |
| Practice Address |
126 S Main St Livingston MT 59047 |
| Practice Telephone | 4062221111 |
| Mailing Telephone | 4062221111 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10855 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
126 S MAIN ST |
| City | LIVINGSTON |
| State | MT |
| Zip Code | 59047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205172582 | Jane Mergy | Nurse Practitioner | 126 S Main St, Livingston, MT 59047-2624 | 2012-12-14 |
| 1851696769 | Drewry Amani Hanes | Nurse Practitioner | 126 S Main St, Livingston, MT 59047-2624 | 2011-01-24 |
| 1992892509 | Mark Schulein | Family Medicine | 126 S Main St, Livingston, MT 59047 | 2006-10-06 |
| 1427145036 | Rebecca Hintze | Physician Assistant | 126 S Main St, Community Health Partners, Livingston, MT 59047 | 2006-10-06 |
| 1750397634 | Kathryn Scarlett Daley | Social Worker | 126 S Main St, Livingston, MT 59047-2624 | 2006-07-31 |
| 1609800788 | Stefanie Katherine Lange | Family Medicine | 126 S Main St, Livingston, MT 59047-2624 | 2006-07-11 |
| 1518909407 | Paula Terese Bradley-guay | Pharmacist | 126 S Main St, Livingston, MT 59047-2624 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013578343 | Sara Gentry | Social Worker | 126 East Callendar Suite 5, Livingston, MT 59047 | 2019-06-26 |
| 1972099752 | Lisa Talcott LLC | Social Worker | 410 S. 11th St, Livingston, MT 59047 | 2018-07-05 |
| 1326535071 | Christine Evelyn May | Counselor | 320 N Main St Ste 2, Livingston, MT 59047 | 2018-04-18 |
| 1033617469 | Lisa Talcott | Social Worker | 410 S. 11th St., Livingston, MT 59047 | 2018-01-31 |
| 1821492125 | Kim Salloux Lac | Preferred Provider Organization | 109 W Callender Suite 2e, Livingston, MT 59047 | 2014-10-15 |
| 1043657752 | Jamie Lynn Van Zee | Speech-Language Pathologist | 80 West Pine Creek, Livingston, MT 59047 | 2013-06-04 |
| 1598051039 | Emma Taylor Neal | Occupational Therapist | 608 E Milky Way Dr, Livingston, MT 59047 | 2011-06-23 |
| 1063715985 | Jacqueline K Isaly | Counselor | 430 E Park, Livingston, MT 59047 | 2010-12-15 |
| 1063665768 | Danny F. Neill | Hearing Instrument Specialist | 615 W. Park St., Livingston, MT 59047 | 2008-10-28 |
| 1093971376 | Kevin Graham Scott | Dentist | 422 South Main Street, Livingston, MT 59047 | 2008-08-05 |
| Find all providers in zip 59047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1508488156 | Urgent Health Solutions Livingston | Family Medicine | 1615 W Church St Ste 100, Livingston, TX 77351-8862 | 2020-05-16 |
| 1801381934 | Park Health Care Pllc | Family Medicine | 1001 River Dr Ste 100, Livingston, MT 59047-3716 | 2018-07-01 |
| 1669986030 | Ran Health Services, Inc. | Family Medicine | 517 Main St Ste A, Livingston, CA 95334-1427 | 2017-11-21 |
| 1376922252 | Sandeep Pinnapureddy | Family Medicine | 204 W Park Ste 200, Livingston, TX 77351-9337 | 2015-05-25 |
| 1487975447 | Johneca Rochelle Broussard | Family Medicine | 309 Highway 59 South Loop, Livingston, TX 77351 | 2010-06-14 |
| 1346563020 | Stephen Patrick Mcculloh | Family Medicine | 13960 Florida Blvd., Livingston, LA 70754 | 2010-03-09 |
| 1407097470 | Lauren Gillis Moore | Family Medicine | 13960 Florida Boulevard, Livingston, LA 70754 | 2009-03-20 |
| 1245486505 | Blackbelt Clinic | Family Medicine | 1302 North Washington, Livingston, AL 35470-0000 | 2008-08-18 |
| 1821256314 | James Gordon Allison | Family Medicine | 25 Willow Bend Lane, Livingston, MT 59047 | 2008-05-30 |
| 1174701916 | Livingston After Hours & Occupational Medicine LLC | Family Medicine | 14292 Florida Boulevard, Livingston, LA 70754 | 2008-02-04 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 59047 |
Please comment or provide details below to improve the information on JEANNETTE WAGNER WALDRON.
| 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.