Christopher Wagoner (NPI# 1750583506, PAC ID# 1456546944) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750583506 |
| PAC ID by PECOS | 1456546944 |
| Professional Enrollment ID | I20101110000298 |
| Full Name | Christopher Wagoner |
| Organization Legal Name | BLESSINGCARE CORPORATION |
| Address |
640 W Washington St Pittsfield IL 62363-1350 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2769420959 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141315 | ILLINI COMMUNITY HOSPITAL |
| 140015 | BLESSING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 640 W Washington St, Pittsfield, IL 62363-1350 | BLESSINGCARE CORPORATION |
| Organization Legal Name | BLESSINGCARE CORPORATION |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Miller | Nurse Practitioner | Blessingcare Corporation | 101 E Washington St, Pittsfield, IL 62363-1436 |
| Mohamed I Jabri | Hospitalist | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| David Stewart Glasgow | Emergency Medicine | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Robert Thomas | Family Medicine | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Sherri White | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Ginger Torrez | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Michelle Baker | Nurse Practitioner | Blessingcare Corporation | 101 E Washington St, Pittsfield, IL 62363-1436 |
| Laura Hull | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Michelle D Hartman | Nurse Practitioner | Blessingcare Corporation | 101 E Washington St, Pittsfield, IL 62363-1436 |
| Lyndell Lomax | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Street Address |
640 W WASHINGTON ST |
| City | PITTSFIELD |
| State | IL |
| Zip | 62363-1350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamed I Jabri | Hospitalist | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| David Stewart Glasgow | Emergency Medicine | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Robert Thomas | Family Medicine | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Sherri White | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Ginger Torrez | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Laura Hull | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Lyndell Lomax | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Joanna M. Bunch | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Nathaniel House | Clinical Social Worker | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Douglas C Richards | Emergency Medicine | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Makenzie K Shipman | Clinical Social Worker | Mental Health Centers of Western Illinois | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 |
| Christina Cunningham | Clinical Social Worker | Mental Health Centers of Western Illinois | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 |
| Jason P Guthrie | Rheumatology | Springfield Clinic LLP | 640 W Washington, Pittsfield, IL 62363-1350 |
| Verna D Orourke | Nurse Practitioner | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Michael D Holden | Family Practice | Blessingcare Corporation | 640 W Washington St, Pittsfield, IL 62363-1350 |
| Dan A Mefford | Chiropractic | 813 W Washington, Pittsfield, IL 62363-1353 | |
| Kendra J Conkright | Internal Medicine | Quincy Physicians and Surgeons Clinic, Sc | 320 N Madison St, Pittsfield, IL 62363-1412 |
| Rachel E Hancock | Nurse Practitioner | Quincy Physicians and Surgeons Clinic, Sc | 320 N Madison St, Pittsfield, IL 62363-1412 |
| Craig R Davenport | Family Medicine | Quincy Physicians and Surgeons Clinic, Sc | 320 N Madison St, Pittsfield, IL 62363-1412 |
| Bryan Thomas Howland | Chiropractic | 114 N Monroe St, Pittsfield, IL 62363-1427 | |
| Find all physicians in zip 62363 | |||
| City | PITTSFIELD |
| Zip Code | 62363 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PITTSFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christopher Wagoner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.