IndividualActive
Christopher Wangard, M.D.
NPI 1023127396 · Pediatrics Physician · Maryville, IL
Provider details
- NPI number
- 1023127396
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036101921 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6800 State Route 162
Maryville, IL 62062-8521
Phone: (618) 288-5711
Street-level locationGet directions
Mailing address
4165 Flora Pl
Saint Louis, MO 63110-3605
Additional practice locations (3)
- 1000 W 10th StRolla, MO 65401-2905Phone: (573) 364-9000Fax: (573) 202-2484
- 1000 W 10th StRolla, MO 65401-2905Phone: (573) 458-8899Fax: (573) 341-5611
- 1465 S Grand BlvdSaint Louis, MO 63104-1003Phone: (314) 577-5600
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.