OrganizationActive
Waggoner Pediatrics, PLC
NPI 1225572548 · Pediatrics Physician · Clive, IA
Waggoner Pediatrics, PLC is a Pediatrics Physician organization in Clive, IA (NPI 1225572548).
Provider details
- NPI number
- 1225572548
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Waggoner, Arnp(515) 987-0051
- License
- 28129 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2555 Berkshire Pkwy Ste a
Clive, IA 50325-4646
Phone: (515) 987-0051
Fax: (515) 987-0054
Street-level locationGet directions
Mailing address
2555 Berkshire Pkwy Ste a
Clive, IA 50325-4646
Other names (DBA / former)
- Doing business as
- Waggoner Pediatrics of Central Iowa
Registry dates
- Enumerated
- 2016-12-05
- Last updated
- 2017-05-08
Frequently asked questions
- What is Waggoner Pediatrics, PLC's NPI number?
- Waggoner Pediatrics, PLC's National Provider Identifier (NPI) is 1225572548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waggoner Pediatrics, PLC?
- Waggoner Pediatrics, PLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Waggoner Pediatrics, PLC located?
- Waggoner Pediatrics, PLC's practice location on file with NPPES is 2555 Berkshire Pkwy Ste a, Clive, IA 50325-4646.
- What is Waggoner Pediatrics, PLC's phone number?
- The practice phone number listed in the NPPES registry for Waggoner Pediatrics, PLC is (515) 987-0051.
- Who is the authorized official for Waggoner Pediatrics, PLC?
- The authorized official listed on Waggoner Pediatrics, PLC's NPPES record is Julie Waggoner, Arnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waggoner Pediatrics, PLC's NPI active?
- Yes — Waggoner Pediatrics, PLC's NPI (1225572548) is active in the NPPES registry as of the last update on 2017-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.