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

NPI Status: Active since April 13, 2010

Contact Information

2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 582-1212
Fax: (479) 582-2070

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About MICHAEL WAGGONER OD PA

This page provides the complete NPI Profile along with additional information for Michael Waggoner Od Pa, a provider established in Fayetteville, Arkansas operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1992021190 assigned on April 2010. The practitioner's primary taxonomy code is 302R00000X with license number 2411 (AR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Michael Waggoner (Owner)

NPI
1992021190
Provider Name
MICHAEL WAGGONER OD PA
Entity Type
Organization
Location Address
2630 E CITIZENS DR STE 6 FAYETTEVILLE, AR 72703
Location Phone
(479) 582-1212
Location Fax
(479) 582-2070
Mailing Address
2630 E CITIZENS DR STE 6 FAYETTEVILLE, AR 72703
Mailing Phone
(479) 582-1212
Mailing Fax
(479) 582-2070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2010
Last Update Date
08-12-2015
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
2411
License State
AR
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL WAGGONER

Authorized Official Title
OWNER
Authorized Official Phone
(479) 582-1212

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========OTHER (01)AREIN
127297722MEDICAID (05)AR 
1992021190OTHER (01)ARGROUP NPI
3893570001MEDICARE NSC (07)AR 
1639185341OTHER (01)ARNPI
435700MEDICARE UPIN (02)AR 
5G500OTHER (01)ARMEDICARE GROUP PTAN

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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.
1992021190
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182022118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 0 + 2 + 2 + 1 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1992021190 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639185341DR. MICHAEL WAGGONER O.D.
Individual
Optometrist2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703
(479) 582-1212
1154811412JOHNSON CHIROPRACTIC CENTER, LLC
Organization
Chiropractor2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703
(479) 709-2014
1992197180DR. BROCK JOHNSON DC
Individual
Chiropractor2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703
(479) 935-3021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992021190, enumerated in the NPI registry as an "organization" on April 13, 2010

The provider is located at 2630 E Citizens Dr Ste 6 Fayetteville, Ar 72703 and the phone number is (479) 582-1212

This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 April 13, 2010. 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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