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NPISignal

Individual Healthcare Provider

Christopher Robert Wangard, M.D.

NPI Record: ActivePediatrics
NPI1023127396
Maryville, Illinois

Provider's NPPES record last updated: September 17, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1023127396
Primary Specialty
Pediatrics
Practice Location
Maryville, Illinois
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:43 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 208000000X

Provider-Reported License Information

Pediatrics (Illinois)
036101921
Pediatrics (Missouri)
112664
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

6800 State Route 162

Maryville, Illinois 62062-8521

Phone: (618) 288-5711

Additional Practice Location

1000 W 10th St

Rolla, Missouri 65401-2905

Phone: (573) 364-9000

Fax: (573) 202-2484

Additional Practice Location

1000 W 10th St

Rolla, Missouri 65401-2905

Phone: (573) 458-8899

Fax: (573) 341-5611

Additional Practice Location

1465 S Grand Blvd

Saint Louis, Missouri 63104-1003

Phone: (314) 577-5600

Record Information

Enumeration Date
August 30, 2006
Provider's NPPES Record Last Updated
September 17, 2024
Certification Date
September 17, 2024
NPISignal NPPES Dataset
August 2026

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