DR. JOHN W. WAGGONER III


Address: 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195
Phone: 3604135825

DR. JOHN W. WAGGONER III (NPI# 1922053016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922053016
Entity Type Individual
Full Name DR. JOHN W. WAGGONER III
Credential M.D.
Practice Address 500 Lilly Rd Ne
Suite 100
Olympia
WA 98506-5195
Practice Telephone 3604135825
Practice Fax Number 3604138837
Mailing Telephone 3604135825
Mailing Fax Number 3604138837
Enumeration Date 2006-05-24
Last Update Date 2017-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
MD00046169 WA Allopathic & Osteopathic Physicians

Other Providers JOHN WAGGONER

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
1104320076 John P Waggoner Orthopaedic Surgery 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2018-03-23
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

Office Location

Street Address 500 LILLY RD NE
SUITE 100
City OLYMPIA
State WA
Zip Code 98506-5195

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871594325 David H Schoening Internal Medicine 500 Lilly Rd Ne, Ste 100, Olympia, WA 98506 2005-08-09
1720644073 Carol Neff Moreno Family Medicine 500 Lilly Rd Ne, Olympia, WA 98506-5195 2019-05-13
1770936015 Ester Monique Brown Licensed Practical Nurse 500 Lilly Rd Ne, Olympia, WA 98506-5195 2016-07-22
1073969101 Samantha Moore Physician Assistant 500 Lilly Rd Ne, Olympia, WA 98506-5195 2016-05-07
1467720292 Sarah Byram Poppe Nurse Practitioner 500 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5197 2011-12-07
1164724308 Providence Health & Services-washington Internal Medicine 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195 2010-11-20
1659554624 Scott David Werden Internal Medicine 500 Lilly Rd Ne, Memorial Medical Plaza, Olympia, WA 98506-5195 2007-12-12
1124144431 Elijah Telfare Physician Assistant 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195 2007-03-21
1194867887 Northwest Radiology Group LLC Specialist 500 Lilly Rd Ne, Suite 160, Olympia, WA 98506-5195 2007-02-12
1245391390 Patrick C Williams Physician Assistant 500 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5197 2006-12-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477185460 Chloe Harper Technician, Other 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 2020-02-07
1912543539 Jessica Marie Radakovich Licensed Practical Nurse 3426 Mary Elder Rd, Olympia, WA 98506 2019-11-19
1669014973 Arlene Josephine Adams Registered Nurse 413 Lily Rd Ne, Olympia, WA 98506 2019-10-09
1861999120 Debra Delores Barker Licensed Practical Nurse 3710 South Bay Rd Ne, Olympia, WA 98506 2018-04-12
1801304431 Michelle Warner Nurse Practitioner 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 2018-01-17
1396258364 Institute for Family Development Community/Behavioral Health 204 Quince St. Ne, Suite 200, Olympia, WA 98506 2017-11-13
1083137715 Cameron Kunkel Specialist/Technologist 2512 20th Ave Ne, Olympia, WA 98506 2017-07-25
1184144768 Trevor Shane Kwan Family Medicine 525 Lilly Road Ne, Olympia, WA 98506 2017-06-23
1073043212 Michael H Harburg Behavior Technician 3857 Martin Way Ne, Olympia, WA 98506 2017-06-19
1780114371 Priscilla Kangyang Jadu Counselor 3857 Martin Way E., Olympia, WA 98506 2017-06-15
Find all providers in zip 98506

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811225923 Gopal Ghimire Internal Medicine 500 Lilly Rd Ne Ste 100, Providence Cardiology Associates, Olympia, WA 98506-5195 2009-12-01
1609081330 Adam Kendall Dunn Internal Medicine 406 Black Hills Ln Sw Ste A, Olympia, WA 98502-8144 2007-05-14
1447363734 Jimmy Zhuang Swan Internal Medicine 500 Lilly Rd Ne, Suire 100, Olympia, WA 98506-5195 2006-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982905923 J. Randall Farrar, Md Internal Medicine 1155 Jadwin Ave, Richland, WA 99352-3434 2010-11-08
1679522106 Inland Cardiology Associates, P.s. Internal Medicine 122 West 7th Avenue, Suite 450, Spokane, WA 99204-4332 2006-05-10
1871986455 Sunnyside Community Hospital Association Internal Medicine 812 Miller Ave, Sunnyside, WA 98944-2374 2015-03-06
1568892586 Shenjing Li Internal Medicine 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664-3290 2013-11-13
1023389061 Henry Chu Internal Medicine 700 Ne 87th Ave Ste 210, Vancouver, WA 98664 2012-01-23
1225311756 Danny Dvir Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2011-09-21
1841510310 Kenta Nakamura Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2010-06-08
1588989032 Patrick John Goleski Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2010-03-27
1508196833 Jacob Appel Doll Internal Medicine 1959 Ne Pacific St, Seattle, WA 98195-0001 2010-01-08
1073743373 Liam Anthony Morris Internal Medicine 1201 S Miller St, Wenatchee, WA 98801-3201 2009-07-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City OLYMPIA
Zip Code 98506

Improve Information

Please comment or provide details below to improve the information on DR. JOHN W. WAGGONER III.

Dataset Information

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.

Trending Searches