NPI Details
Daniel Leroy Waggoner, M.D. is an allergy immunology in Mystic, CT with 25 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Daniel Leroy Waggoner, M.D. NPI is 1558406066. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2001
The provider's business location address is:
23 CLARA DR
SUITE 204
MYSTIC, CT
ZIP 06355-959
Phone: (860) 536-2995
Fax: (860) 572-0265
The NPI 1558406066 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Professional service for multiple injections of allergen (HCPCS:95117)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
- Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
- Evaluation of use of breathing device (HCPCS:94664)
- Test to measure expiratory airflow and volume (HCPCS:94010)
The enumeration date for this NPI number is 2/21/2007 and was last updated on 3/25/2016.
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 | 207KA0200X | Allergy & Immunology | Allergy | 45087 | CONNECTICUT | No |
| 2 | 207K00000X | Allergy & Immunology | | 045087 | CONNECTICUT | 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 | H76865 | MEDICARE UPIN | | |
