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BETHANY GALE WAGENER PA-C
NPI 1063711190
Physician Assistant in Oklahoma City, OK

Active since March 15, 2011
2901 N CLASSEN BLVD, SUITE 200, OKLAHOMA CITY, OK 73106(918) 594-1300(918) 594-1312 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bethany Gale Wagener Pa-c NPPES

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

BETHANY GALE WAGENER PA-C (NPI 1063711190) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (APA2006) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1063711190
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBETHANY GALE WAGENERCredential: PA-C
Location Address2901 N CLASSEN BLVD, SUITE 200Oklahoma City, OK 73106-5493
Mailing Address9014 W Rogers BlvdSkiatook, OK 74070-5528 · (405) 408-3547
Phone(918) 594-1300
Fax(918) 594-1312
Sole ProprietorYes
Enumeration DateMarch 15, 2011
✔ NPI 1063711190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · APA2006
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2901 N CLASSEN BLVD, Oklahoma City, OK 73106
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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 Bethany Wagener's NPI number?

The NPI number for Bethany Wagener is 1063711190. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Bethany Wagener located?

Bethany Wagener practices at 2901 N Classen Blvd Suite 200, Oklahoma City, OK 73106. The listed phone number is (918) 594-1300.

What is Bethany Wagener's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bethany Wagener was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.