| Christopher Joseph Waguespack, DO | |
|
11123 Chantilly Pkwy Ct, Suite M, Pike Road, AL 36064-2880 | |
| (334) 832-2301 | |
| Not Available |
| Full Name | Christopher Joseph Waguespack |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 11123 Chantilly Pkwy Ct, Pike Road, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275775165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036.122210 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 0102202301 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | DO1346 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Hospital & Clinic Inc | Montgomery, AL | Hospital |
| Baptist Medical Center South | Montgomery, AL | Hospital |
| Baptist Medical Center East | Montgomery, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson Hospital And Clinic, Inc | 0547254153 | 113 |
| Entity Name | Jackson Hospital And Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Joseph Waguespack, DO 11123 Chantilly Pkwy Ct, Suite M, Pike Road, AL 36064-2880 Ph: (334) 832-2301 | Christopher Joseph Waguespack, DO 11123 Chantilly Pkwy Ct, Suite M, Pike Road, AL 36064-2880 Ph: (334) 832-2301 |
Latoya Strum, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5338 Pike Loop, Pike Road, AL 36064 Phone: 334-202-9227 | |
Leondria C Hinds, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9560 Vaughn Road, Pike Road, AL 36064 Phone: 334-747-2273 |