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

John J Waddell, MD

Individual provider Specialist · NPI 1497735724

John J Waddell, MD is a Diagnostic Radiology in Jefferson City, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 1990, 36 years ago. Practices with Radiologic Professional Services PA, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
36
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 632-5265
Fax: (573) 632-5948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence R5P32 (MO)
Specialist Taxonomy 174400000X · Licence R5P32 (MO)

Record details

NPI number1497735724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 20, 2006
Last updated in NPPESAugust 29, 2008
Mailing addressPo Box 7687, Columbia, MO 65205-7687

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Radiologic Professional Services. P.A. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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