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WOLF KARL VON WAAGNER MD
NPI 1124308580
General Practice in Davenport, FL

Active since August 17, 2011PECOS Enrolled
2306 NORTH BLVD W STE C, DAVENPORT, FL 33837(863) 547-9200(863) 547-9221 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wolf Karl Von Waagner Md NPPES

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

WOLF KARL VON WAAGNER MD (NPI 1124308580) is an individual general practice provider in Davenport, Florida, licensed in Florida (ME170625) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1124308580
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameWOLF KARL VON WAAGNERCredential: MD
Location Address2306 NORTH BLVD W STE CDavenport, FL 33837-8976
Mailing Address423 Raritan AveStaten Island, NY 10305-2345 · (718) 755-8882
Phone(863) 547-9200
Fax(863) 547-9221
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 17, 2011
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1124308580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME170625
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2306 NORTH BLVD W STE C, Davenport, FL 33837
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wolf Karl Von Waagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678073103
PECOS Enrollment IDI20250820003281
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

OLYMPIA MEDICAL GROUP, LLC
Family Medicine
2306 NORTH BLVD W STE C
DAVENPORT, FL 33837
Polk County (863) 547-9200
ROCIO LABRADA MSN, APRN, FNP-BC
Nurse Practitioner (Family)
2306 NORTH BLVD W STE C
DAVENPORT, FL 33837
Polk County (863) 547-9200

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 Wolf Von Waagner's NPI number?

The NPI number for Wolf Von Waagner is 1124308580. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Wolf Von Waagner located?

Wolf Von Waagner practices at 2306 North Blvd W Ste C, Davenport, FL 33837. The listed phone number is (863) 547-9200.

What is Wolf Von Waagner's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Wolf Von Waagner enrolled in Medicare?

Yes. Wolf Von Waagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wolf Von Waagner was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.