DR. KYLE MARIE WAGGONER (NPI# 1952573941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952573941 |
Entity Type | Individual |
Full Name | DR. KYLE MARIE WAGGONER |
Credential | DPM |
Practice Address |
13330 Usf Laurel Dr Tampa FL 33612-6601 |
Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
Practice Telephone | 8139742201 |
Enumeration Date | 2008-03-31 |
Last Update Date | 2018-05-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3288 | FL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 024263600 | 05 | |
FL | BLUE CROSS BLUE SHIELD | 6501B | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
13000 Bruce B Downs Blvd, Tampa, FL 336124745 | 8139722000 |
Street Address |
13330 USF LAUREL DR |
City | TAMPA |
State | FL |
Zip Code | 33612-6601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679579056 | Larry H. Collins | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2005-06-22 |
1770195075 | Andrew J Baxter | Physical Therapy Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-08-18 |
1104445147 | Levon Leo Ohanisian | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-04-09 |
1497383244 | Charles Max Seifer | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-03-28 |
1114569431 | Donna P. Ortiz | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-10-09 |
1417503269 | Ahlam Abukhdeir | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-16 |
1326694357 | Abbey Rose Liebert | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-15 |
1003469412 | Ashley Brooke Austin Johnson | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-07-24 |
1497317440 | Mackenzie Garreth | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-06-30 |
1477116952 | Kevin Garrett Allison | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
Find all providers in zip 33612 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114211299 | Megan Brook Johnson | Podiatrist | 13019 W Linebaugh Ave Ste 101, Tampa, FL 33626 | 2011-06-06 |
1437207933 | All Podiatry Group Inc | Podiatrist | 2511 W. Dr Martin L. King Blvd., Tampa, FL 33607 | 2007-01-08 |
1225103260 | Richard Steven Salkowe | Podiatrist | 4130 Carrollwood Village Dr, Tampa, FL 33618-8626 | 2006-11-22 |
1831288554 | Bernard Goldstein | Podiatrist | 13615 Bruce B Downs Blvd, Suite 112, Tampa, FL 33613-4607 | 2006-10-12 |
1942238829 | Paul A Beyer | Podiatrist | 13349 N 56th St, Tampa, FL 33617-1161 | 2006-06-29 |
1124080866 | James Russell Lowrey | Podiatrist | 8583 W Linebaugh Ave, Tampa, FL 33625-3731 | 2006-04-06 |
1629573217 | Tidewater Foot & Ankle Associates, Inc. | Podiatrist | 13019 W Linebaugh Ave Ste 101, Tampa, FL 33626 | 2018-03-27 |
1831619956 | Michal Waldman Dpm Pa | Podiatrist | 1706 E Bearss Ave, Tampa, FL 33613-2451 | 2017-06-20 |
1043743800 | Michael Birau | Podiatrist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-04-09 |
1740726959 | Kussel & Associates | Podiatrist | 1302 W Swann Ave, Tampa, FL 33606-2531 | 2017-01-11 |
Find all providers in TAMPA |
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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.