Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023127396 Individual Practitioner Male Practitioner

Dr. Christopher Robert Wangard , MD

Pediatrics • Maryville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Wangard, MD is a registered healthcare professional specializing in Pediatrics in Maryville, IL. Practice services are available at 6800 STATE ROUTE 162 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6800 State Route 162

Maryville, IL 620628521

Telephone 6182885711
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Maryville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Maryville, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036101921

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 112664

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036101921 (IL)

Secondary Practice Locations

1000 W 10th St

Rolla, MO 654012905

Phone: 5733649000

1000 W 10th St

Rolla, MO 654012905

Phone: 5734588899

1465 S Grand Blvd

Saint Louis, MO 631041003

Phone: 3145775600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Vaughn , PT

Physical Therapist

NPI 1013042605

Physical Therapist

Dr. Thomas Hill , MD

Radiology - Diagnostic Radiology

NPI 1033153663

Doctor of Medicine (M.D.)

Barbara Allen , MSCCC-SLP

Speech-Language Pathologist

NPI 1033244728

MSCCCSLP

Dr. Terry Burk , MD

Radiology - Diagnostic Radiology

NPI 1124062757

Doctor of Medicine (M.D.)

Michael Petru , CRNA

Nurse Anesthetist, Certified Registered

NPI 1124188354

Certified Registered Nurse Anesthetist

Dr. Mary Henry , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1144283136

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address September 17, 2024

Registered at 4165 FLORA PL, SAINT LOUIS, MO 631103605 (Tel: 6183044375)

📍
Updated Practice Location March 25, 2020

Registered at 6800 STATE ROUTE 162, MARYVILLE, IL 620628521 (Tel: 6182885711)

📍
Updated Business Mailing Address March 25, 2020

Registered at 3514 SHENANDOAH AVE, SAINT LOUIS, MO 631041724 (Tel: 6183044375)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Pediatrics (License #036101921 in IL)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2160 S STATE ROUTE 157, SUITE B, GLEN CARBON, IL 620341720 (Tel: 6186921212)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2160 S ILLINOIS RT 157, SUITE B, GLEN CARBON, IL 62034 (Tel: 6186921212)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CHRISTOPHER WANGARD, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics

🟢
Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Christopher Wangard. Be the first to share your experience!

Sign in to leave a review for Dr. Christopher Wangard

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1023127396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: September 17, 2024
Sole Proprietor: No

Mailing Address

4165 Flora Pl

Saint Louis, MO 631103605

Phone: 6183044375

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.