MICHAEL WAGGONER OD PA
NPI 1992021190
Health Maintenance Organization in Fayetteville, AR

Active since April 13, 2010
2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR 72703(479) 582-1212(479) 582-2070 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Waggoner Od Pa NPPES

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

MICHAEL WAGGONER OD PA (NPI 1992021190) is a healthcare organization registered as a health maintenance organization in Fayetteville, Arkansas and active in the NPI registry since April 2010. The organization lists Michael Waggoner, Owner, as its authorized official.

NPPES Registry Identity

NPI1992021190
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameMICHAEL WAGGONER OD PA
Location Address2630 E CITIZENS DR STE 6Fayetteville, AR 72703-4797
Mailing Address2630 E Citizens Dr Ste 6Fayetteville, AR 72703-4797 · (479) 582-1212 · Fax (479) 582-2070
Fax(479) 582-2070
Organization SubpartNo
Authorized OfficialMichael WaggonerOwner · (479) 582-1212
Enumeration DateApril 13, 2010
Last NPPES UpdateAugust 12, 2015
NPI 1992021190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in AR · 2411
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
2630 E CITIZENS DR STE 6, Fayetteville, AR 72703

Other Identifiers 6

Medicaid127297722AR
Other1992021190AR · Group Npi
Medicare NSC3893570001AR
Other1639185341AR · Npi
Medicare UPIN435700AR
Other5G500AR · Medicare Group Ptan

Other Providers at the Same Location NPPES 3

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

Chiropractor
2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703
Optometrist
2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703
Chiropractor
2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703

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 Michael Waggoner Od PA's NPI number?

The NPI number for Michael Waggoner Od PA is 1992021190. It was assigned to this organization in the NPPES registry on April 13, 2010.

Where is Michael Waggoner Od PA located?

Michael Waggoner Od PA is located at 2630 E Citizens Dr Ste 6, Fayetteville, AR 72703. The listed phone number is (479) 582-1212.

What is Michael Waggoner Od PA's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

When was this NPI record last updated?

The NPPES record for Michael Waggoner Od PA was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.