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

Dr. Allison L Waggoner, DO

Individual provider Family Medicine Physician · NPI 1497149397

Dr. Allison L Waggoner, DO is a Family Practice in Vernon, Connecticut. Qualified in 2015, 11 years ago. Practices with Prospect CT Medical Foundation Inc, a 289-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
11
Licensed in
CT
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

428 Hartford Tpke Ste 210
Vernon, CT 06066-4841
Phone: (860) 533-4611
Fax: (860) 871-5927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 60561 (CT)

Record details

NPI number1497149397
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address428 Hartford Tpke Ste 210, Vernon, CT 06066-4841

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Prospect Ct Medical Foundation Inc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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