Organization Active NPI

Richard W Waguespack MD PC

  • Specialist
  • Birmingham, AL
National Provider Identifier
1922123397
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00009093 Issued in AL
Legal business name
RICHARD W WAGUESPACK MD PC
Practice address
2660 10TH Ave S Ste 201
Birmingham, AL 35205-1623
Phone
(205) 933-9036
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Carolyn Ogle
Title
Manager
Phone
(205) 933-9036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00009093 AL Primary

Addresses

Primary practice location

2660 10TH Ave S Ste 201
Birmingham, AL 35205-1623

Mailing address

2660 10TH Ave S Ste 201
Birmingham, AL 35205-1623
Phone (205) 933-9036

Other identifiers 1

IdentifierTypeStateIssuer
528901440MedicaidAL

National Provider Directory

National Provider Directory

Locations

2660 10th Ave S
Ste 201
Birmingham, AL 35205
Phone (205) 933-2340

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1922123397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051623",
            "telephone_number": "205-933-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051623",
            "telephone_number": "205-933-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W WAGUESPACK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-933-9036"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "00009093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528901440",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.