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CHARLES WESLEY WAGNER MD
NPI 1003532268
Surgery - Pediatric Surgery in Little Rock, AR

Active since October 18, 2022
12609 SAINT CHARLES BLVD, LITTLE ROCK, AR 72211(501) 680-0738 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Wesley Wagner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES WESLEY WAGNER MD (NPI 1003532268) is an individual pediatric surgery provider in Little Rock, Arkansas, licensed in Arkansas (N-7036) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1003532268
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameCHARLES WESLEY WAGNERCredential: MD
Location Address12609 SAINT CHARLES BLVDLittle Rock, AR 72211-2227
Mailing Address1 Childrens WayLittle Rock, AR 72202-3500 · (501) 364-1447
Phone(501) 680-0738
Sole ProprietorYes
Enumeration DateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1003532268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in AR · N-7036
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
12609 SAINT CHARLES BLVD, Little Rock, AR 72211
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Other Identifiers 2

OtherN-7036AR · General Practice
MedicaidN-7036AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Wagner's NPI number?

The NPI number for Charles Wagner is 1003532268. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Charles Wagner located?

Charles Wagner practices at 12609 Saint Charles Blvd, Little Rock, AR 72211. The listed phone number is (501) 680-0738.

What is Charles Wagner's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Charles Wagner was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.