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

Erin Elizabeth Waggoner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548831803

Erin Elizabeth Waggoner is a Physician Assistant in Louisville, Kentucky. Qualified in 2021, 5 years ago. Practices with Associates in Dermatology, PLLC, a 37-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3810 Springhurst Blvd Ste 200
Louisville, KY 40241-6162
Phone: (502) 583-1749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC092 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548831803
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Associates In Dermatology, Pllc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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