Linda A. Waggoner Fountain
MD | Pediatric Infectious Diseases | Female
Linda A. Waggoner Fountain, MD is a Charlottesville, Virginia based Pediatric doctor with medical specialization in
Pediatric Infectious Diseases.
Current practice location of Linda A. Waggoner Fountain is
1204 W Main St, Charlottesville, Virginia - 22903-2824. She can be contacted on phone at
434-924-0123 and fax number 434-243-3300.
Linda A. Waggoner Fountain is a sole proprietor of her business.
NPI number (Unique professional ID) for Linda A. Waggoner Fountain is
1013086651 which was assigned by NPPES on 07 Nov, 2006 and it was last updated on 16 Oct, 2020.
Linda A. Waggoner Fountain license number is
0101048721 for Pediatrics Pediatric Infectious Diseases (2080P0208X) in Virginia.
Linda A. Waggoner Fountain is trained to take care of children in the diagnosis, treatment and prevention of infectious diseases. Infectious Diseases pediatrician can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Complete Profile:
Linda A. Waggoner Fountain basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Infectious Diseases |
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| Provider Name : | Linda A. Waggoner Fountain |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Linda A. Waggoner Fountain address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1204 W Main St
Charlottesville, VA, 22903-2824
United States |
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| Phone Number : | 434-924-0123 |
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| Fax Number : | 434-243-3300 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013086651 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Nov, 2006 |
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| Last Updated On : | 16 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Linda A. Waggoner Fountain are as mentioned. Primary taxonomy code for Linda A. Waggoner Fountain, MD is
2080P0208X (Pediatrics Pediatric Infectious Diseases).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0101048721 | VA |
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | Yes | 0101048721 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Linda A. Waggoner Fountain such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1013086651 | MEDICAID | VA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | lwaggonerfountain6678@direct.healthsystem.virginia.edu
| No affiliation | DIRECT
Direct
|
| 1204 W MAIN ST,
CHARLOTTESVILLE, VA, 22903-2824
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 9007
Charlottesville, VA, 22906-9007
United States |
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Business Location:
Patients can refer following map for directions to
Linda A. Waggoner Fountain practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.