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Michael Waggoner Od PA

Health Maintenance Organization in Fayetteville, AR · enumerated 2010 · authorized official Michael Waggoner, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992021190

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Registry record

Entity type Organization (Type 2)
Legal business name Michael Waggoner Od PA
Practice address 2630 E Citizens Dr Ste 6, Fayetteville, AR, 72703
Phone (479) 582-1212
Fax (479) 582-2070
Enumeration date Apr 13, 2010
Last updated in NPPES Aug 12, 2015

Taxonomy & classification

302R00000X Health Maintenance Organization Managed Care Organizations · License 2411 (AR) Primary

Authorized official

Name Michael Waggoner
Title Owner
Phone (479) 582-1212

Other identifiers

Identifier Type State Issuer
1639185341 Other AR NPI
5G500 Other AR MEDICARE GROUP PTAN
127297722 Medicaid AR -
1992021190 Other AR GROUP NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Michael Waggoner Od PA?
Michael Waggoner Od PA is registered in NPPES as a Health Maintenance Organization (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-12.