Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waggenspack Medical Group, LLC

Organization Internal Medicine Physician · NPI 1770806077

Waggenspack Medical Group, LLC is an Internal Medicine Physician in New Orleans, Louisiana. Licensed in Louisiana. Registered with an NPI since 2010.

Licensed in
LA
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6723 Vicksburg St
New Orleans, LA 70124-3321
Phone: (504) 875-4029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD203258 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence MD203258 (LA)

Record details

NPI number1770806077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Waggenspack — Owner · (504) 875-4029
NPI enumeratedMarch 1, 2010
Last updated in NPPESMarch 11, 2011
Mailing address6723 Vicksburg St, New Orleans, LA 70124-3321

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