Wagg, Inc.

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA.0001218 Issued in CO

Legal business name

WAGG, INC.

Practice address

2036 Krameria St
Denver, CO 80207-3929

Phone

(303) 934-6970

Fax

(813) 931-9862

NPI assigned

Feb 16, 2007

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Andrew Waggoner, CSFANPI 1801347554

Title

President

Phone

(303) 934-6970

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Andrew Waggoner, CSFA

  • Surgical Assistant
  • Denver, CO
  • NPI 1801347554
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1447394309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 KRAMERIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073929",
            "telephone_number": "303-934-6970",
            "fax_number": "813-931-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 KRAMERIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073929",
            "telephone_number": "303-934-6970",
            "fax_number": "813-931-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-934-6970",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "SA.0001218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Wadsworth, D.C.
• Susan M Wadsworth, R.N.
• Kelly Waechter
• Phyllis Wagar, FNP-C
• Olivia Wageman
• Clyde E Waggoner, DMD
• Colleen Waggoner, FNP
• George Andrew Waggoner, CSFA
• Jeffrey Lynn Wagnaar, P.T.
• Alyssa Wagner, PT, DPT

• Surgical Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.