WAGONER MEDICAL GROUP PC
NPI 1013964162
Internal Medicine in Grand Island, NE

Q: What is Wagoner Medical Group PC's NPI number?

The NPI number for Wagoner Medical Group PC is 1013964162. It was assigned to this organization in the NPPES registry on May 27, 2006.

Q: What is Wagoner Medical Group PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 27, 2006

800 N ALPHA ST, GRAND ISLAND, NE 68803(308) 382-2010(308) 382-9549 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wagoner Medical Group Pc NPPES

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

WAGONER MEDICAL GROUP PC (NPI 1013964162) is a healthcare organization registered as an internal medicine in Grand Island, Nebraska and active in the NPI registry since May 2006. The organization lists Jody M Hughes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013964162

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameWAGONER MEDICAL GROUP PC

Location Address800 N ALPHA STGrand Island, NE 68803-4320

Mailing Address800 N Alpha StGrand Island, NE 68803-4320 · (308) 382-2010 · Fax (308) 382-9549

Phone(308) 382-2010

Fax(308) 382-9549

Organization SubpartNo

Authorized OfficialJody M HughesOffice Manager · (308) 382-2010

Enumeration DateMay 27, 2006

Last NPPES UpdateFebruary 15, 2008

✔ NPI 1013964162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

800 N ALPHA ST, Grand Island, NE 68803

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Other Identifiers 2

OtherCD3724NE · Medicare Group Railroad

Medicare PIN900044NE

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE BAJO

Nurse Practitioner