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DR. JOHN A WAGONER M.D.
NPI 1114974284
Internal Medicine in Grand Island, NE

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 09, 2026.

About Dr. John A Wagoner M.d. NPPES

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

DR. JOHN A WAGONER M.D. (NPI 1114974284) is an individual internal medicine provider in Grand Island, Nebraska, licensed in Nebraska (14621) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1114974284
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN A WAGONERCredential: M.D.
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
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateFebruary 15, 2008
✔ NPI 1114974284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 14621
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.
800 N ALPHA ST, Grand Island, NE 68803
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Other Identifiers 3

Medicaid47071903800NE
Medicare PIN281872NE
Medicare UPIND05117NE

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.

WAGONER MEDICAL GROUP PC
Internal Medicine
800 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 382-2010
JOSE BAJO
Nurse Practitioner
800 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 382-2010
PURVA GIRISH GUMASTE
Internal Medicine (Infectious Disease)
800 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 382-2010
AMY ELIZABETH THEESEN APRN
Nurse Practitioner
800 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 382-2010
DR. JENNIFER L KING M.D.
Internal Medicine
800 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 382-2010

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 John Wagoner's NPI number?

The NPI number for John Wagoner is 1114974284. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is John Wagoner located?

John Wagoner practices at 800 N Alpha St, Grand Island, NE 68803. The listed phone number is (308) 382-2010.

What is John Wagoner's specialty?

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

When was this NPI record last updated?

The NPPES record for John Wagoner was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.