Christopher J Waguespack (NPI# 1275775165, PAC ID# 2365683166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1275775165 |
PAC ID by PECOS | 2365683166 |
Professional Enrollment ID | I20131120002075 |
Full Name | Christopher J Waguespack |
Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
Address |
11123 Chantilly Pkwy Ct Pike Road AL 36064-2880 |
Phone Number | 3342938888 |
Gender | M |
Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2006 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | FAMILY MEDICINE |
Group Practice PAC ID | 0547254153 |
Number of Group Practice Members | 83 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010024 | JACKSON HOSPITAL & CLINIC INC |
010023 | BAPTIST MEDICAL CENTER SOUTH |
Address | Phone | Organization |
---|---|---|
1722 Pine St, Montgomery, AL 36106-1160 | JACKSON HOSPITAL AND CLINIC, INC. | |
1801 Pine St, Montgomery, AL 36106-1154 | JACKSON HOSPITAL AND CLINIC, INC. | |
11123 Chantilly Pkwy Ct, Pike Road, AL 36064-2880 | 3342938888 | JACKSON HOSPITAL AND CLINIC, INC. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 4% |
Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
Physicians | 84 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jacquelin Ratunil Chua | Rheumatology | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 801, Montgomery, AL 36106-1108 |
Brooke A Robinson | Family Medicine | Jackson Hospital and Clinic, Inc. | 4150 Carmichael Rd, Suite B, Montgomery, AL 36106-2933 |
Shyam Padmanabhan | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
Susan W Aguiar | Otolaryngology | Jackson Hospital and Clinic, Inc. | 1111 Olive St, Montgomery, AL 36106-1129 |
Ravichandra R Boyella | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1758 Park Pl, Suite 300, Montgomery, AL 36106-1137 |
Jodie M Shedd | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
William Saliski | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 44 Medical Arts Ct, Greenville, AL 36037-3869 |
Howard Brazil | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
Gregory P Jones | Family Medicine | Jackson Hospital and Clinic, Inc. | 80 Herren Hill Rd, Suite C, Tallassee, AL 36078-1264 |
Timothy W Morrow | Urology | Jackson Hospital and Clinic, Inc. | 226 Mitylene Park Dr, Montgomery, AL 36117-3548 |
Street Address |
11123 CHANTILLY PKWY CT |
City | PIKE ROAD |
State | AL |
Zip | 36064-2880 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth Woodfin | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 11123 Chantilly Pkwy Ct, Pike Road, AL 36064-2880 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel L Stewart | Physical Therapy | 9708 Silver Bell Ct, Pike Road, AL 36064-2356 | |
Mollie E Isaacson | Clinical Social Worker | 660 Horseshoe Curve, Pike Road, AL 36064-3408 |
City | PIKE ROAD |
Zip Code | 36064 |
Specialty | INTERNAL MEDICINE |
City + Specialty | PIKE ROAD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Christopher J Waguespack.
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.