Waggoner, Joshua D.
Waggoner, Joshua D. is an individual health care provider with primary practice located at 10101 N 92Nd St Ste 101 , Scottsdale AZ 85258-4553. He recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Cardiac Rehabilitation, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Waggoner, Joshua D. can be contacted via phone (480) 747-6532.Contact Information
Primary practice address
10101 N 92Nd St Ste 101
Scottsdale AZ 85258-4553
Phone: (480) 747-6532
Fax: (480) 889-6865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Cardiac Rehabilitation | 163WC3500X | 47969 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 47969 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N3380 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 47969 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 47969 | Arizona |
Profile Details
| NPI number | 1093907107 |
|---|---|
| LBN Legal business name | Waggoner, Joshua D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Jul 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093907107 | NPPES |
| Texas | MEDICAID | 206687003 | |
| Texas | MEDICAID | 206687005 | |
| Texas | MEDICAID | 820654 | |
| Texas | MEDICAID | 206687004 | |
| Texas | MEDICAID | 206687002 |
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