Jeremy Louis Waggenspack, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD203258 Issued in LA

Practice address

6723 Vicksburg St
New Orleans, LA 70124-3321

Phone

(504) 875-4029

NPI assigned

Aug 22, 2007

Last updated

Mar 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Louisiana State University School of Medicine in New Orleans, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
• New Orleans East Hospital Hospital, New Orleans, LA, CCN 190313

Merit-based Incentive Payment System (MIPS)

Final score

78.64 of 100Reported as group

Quality

68.02

Improvement activities

40

Cost

76.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Orleans Physician Services Inc

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1396169678
  Medicare reassignment Care Compare group NPD
• Waggenspack Medical Group, LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1770806077
  NPD (past) Authorized official
• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LCMC Health Clinical Services, LLC

  • Obstetrics & Gynecology Physician
  • New Orleans, LA
  • NPI 1417446501

  Hospital

  Care Compare affiliation
• Parish Hospital Service District for the Parish of Orleans - Dist a

  dba New Orleans East Hospital

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1225450588
  Care Compare affiliation
• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1437342615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 VICKSBURG ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243321",
            "telephone_number": "504-875-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 VICKSBURG ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243321",
            "telephone_number": "504-875-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGENSPACK",
        "first_name": "JEREMY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD203258",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD203258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reena Divya Wadhwa
• Courtlin Wadleigh
• Lauren Brooke Wadlington, COTA
• Shirley M Wagers, MSW
• Waggenspack Medical Group, LLC
• Dane Wagner, MD
• Emily Freilich Wagner
• Frank Hall Wagner, M.D.
• Karenton Laneice Wagner
• Laura Victoria Waguespack, DNP

• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.