DR. DEREK WAGGONER PHD
NPI 1336877042
Pathology - Clinical Laboratory Director, Non-physician in Miami, FL
NPI Status: Active since August 10, 2022
Contact Information
1400 NW 12TH AVE STE 4065
MIAMI, FL
ZIP 33136
Phone: (305) 243-6952
- Individual
- Male
- Pathology
- Clinical Laboratory Director, Non-physic...
- Accepts Insurance
About DEREK WAGGONER
This page provides the complete NPI Profile along with additional information for Derek Waggoner, a provider established in Miami, Florida with a medical specialization in Pathology, focusing in clinical laboratory director, non-physician . The healthcare provider is registered in the NPI registry with number 1336877042 assigned on August 2022. The practitioner's primary taxonomy code is 247ZC0005X with license number DI53685 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1336877042
- Provider Name
- DR. DEREK WAGGONER PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1400 NW 12TH AVE STE 4065 MIAMI, FL 33136
- Location Phone
- (305) 243-6952
- Mailing Address
- 1400 NW 12TH AVE STE 4065 MIAMI, FL 33136
- Mailing Phone
- (305) 243-6952
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2022
- Last Update Date
- 08-10-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Clinical Laboratory Director, Non-physician
- Taxonomy Code
- 247ZC0005X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- DI53685
- License State
- FL
- Taxonomy Description
- An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 8 | 7 | 7 | 0 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 16 | 7 | 14 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 6 + 7 + 1 + 4 + 0 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1336877042 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336877042, enumerated in the NPI registry as an "individual" on August 10, 2022
The provider is located at 1400 Nw 12th Ave Ste 4065 Miami, Fl 33136 and the phone number is (305) 243-6952
The provider's speciality is Pathology with taxonomy code 247ZC0005X with a focus in Clinical Laboratory Director, Non-physician
The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 10, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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