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DR. CARL WAGGONER MD
NPI 1043218068
Family Medicine in Newark, OH

Active since July 13, 2005
1272 W MAIN ST, BLDG. 5, NEWARK, OH 43055(740) 348-1788(740) 348-1789 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carl Waggoner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARL WAGGONER MD (NPI 1043218068) is an individual family medicine provider in Newark, Ohio, licensed in Ohio (35-043176) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1043218068
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARL WAGGONERCredential: MD
Location Address1272 W MAIN ST, BLDG. 5Newark, OH 43055-2034
Mailing Address1272 W Main St, Bldg. 5Newark, OH 43055-2034 · (740) 348-1788 · Fax (740) 348-1789
Phone(740) 348-1788
Fax(740) 348-1789
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateJune 21, 2010
✔ NPI 1043218068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-043176
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1272 W MAIN ST, Newark, OH 43055
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Other Identifiers 6

Other1822763OH · First Health
Other4400430OH · Aetna
Medicare ID-Type Unspecified0537065OH
Medicaid416615OH
Other0101480OH · Uhc
Medicare UPINCO2598OH

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHERINE CHIODO D.P.M.
Podiatrist (Foot & Ankle Surgery)
1272 W MAIN ST, BUILDING #4
NEWARK, OH 43055
Licking County (740) 345-8800
LICKING MEMORIAL PROFESSIONAL CORP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1272 W MAIN ST, BLDG 2 STE 3
NEWARK, OH 43055
Licking County (740) 348-7950
READ'S PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1272 W MAIN ST
NEWARK, OH 43055
Licking County (740) 344-7979
LICKING MEMORIAL PROFESSIONAL CORPORATION
Family Medicine
1272 W MAIN ST, BLDG. 1
NEWARK, OH 43055
Licking County (740) 348-1702
DR. LARRY PASLEY MD
Surgery
1272 W MAIN ST, BLDG. 3
NEWARK, OH 43055
Licking County (740) 348-1880
LICKING MEMORIAL PROFESSIONAL CORP.
Surgery
1272 W MAIN ST, BLDG. 3
NEWARK, OH 43055
Licking County (740) 348-1880
DR. CHRISTOPHER MATTHEW FORBUSH D.O.
Family Medicine
1272 W MAIN ST, SUITE 503
NEWARK, OH 43055
Licking County (220) 564-1778
LICKING MEMORIAL PROFESSIONAL CORPORATION
Surgery (Plastic and Reconstructive Surgery)
1272 W MAIN ST, BLDG. 2
NEWARK, OH 43055
Licking County (740) 348-7955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Waggoner's NPI number?

The NPI number for Carl Waggoner is 1043218068. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Carl Waggoner located?

Carl Waggoner practices at 1272 W Main St Bldg. 5, Newark, OH 43055. The listed phone number is (740) 348-1788.

What is Carl Waggoner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carl Waggoner was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.