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

Dr. Carl Waggoner, MD

Individual provider Family Medicine Physician · NPI 1043218068

Dr. Carl Waggoner, MD is a Family Medicine Physician in Newark, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1272 W Main St Bldg 5
Newark, OH 43055-2034
Phone: (740) 348-1788
Fax: (740) 348-1789
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 35-043176 (OH)

Record details

NPI number1043218068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2005
Last updated in NPPESJune 21, 2010
Mailing address1272 W Main St, Bldg. 5, Newark, OH 43055-2034

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