CLINTON WAGGONER MD NPI 1235344011

NPI Information

NPI: 1235344011
Provider Name: CLINTON WAGGONER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: RADIOLOGY ASSOCIATES OF BIRMINGHAM, P.C.

PECOS Registration: Yes

Address:
5151 N 9TH AVE
PENSACOLA, FL
ZIP 32504
Phone: (850) 476-8602
Get Directions

Clinton Waggoner, MD is a diagnostic radiology radiology in Pensacola, FL with 26 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Clinton Waggoner, MD NPI is 1235344011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

5151 N 9TH AVE
PENSACOLA, FL
ZIP 32504-721
Phone: (850) 476-8602
Fax: (850) 474-3518

The NPI 1235344011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 3/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	26192	ALABAMA	No
2	2085R0202X	Radiology	Diagnostic Radiology	ME111431	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51599267	OTHER	ALABAMA	BCBS
2	51599265	OTHER	ALABAMA	BCBS
3	111238	MEDICAID	ALABAMA
4	111236	MEDICAID	ALABAMA
5	14P2L	OTHER	FLORIDA	BCBS OF FLORIDA
6	145235	MEDICAID	ALABAMA
7	GV671Z	MEDICARE PIN	FLORIDA
8	102I300417	MEDICARE PIN	ALABAMA
9	51599271	OTHER	ALABAMA	BCBS
10	51599266	OTHER	ALABAMA	BCBS
11	007825700	MEDICAID	FLORIDA
12	GV671Y	MEDICARE PIN	FLORIDA
13	51067334	OTHER	ALABAMA	BCBS
14	111222	MEDICAID	ALABAMA
15	51599270	OTHER	ALABAMA	BCBS
16	592-19398	OTHER	FLORIDA	BCBS OF ALABAMA
17	P01133899	OTHER	FLORIDA	RAILROAD MEDICARE
18	110982	MEDICAID	ALABAMA
19	51599269	OTHER	ALABAMA	BCBS
20	111237	MEDICAID	ALABAMA
21	111224	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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