1. Home
  2. Directory
  3. Indiana
  4. Kokomo
  5. Family Medicine
  6. NPI Profile

WAGONER MEDICAL CENTER, LLC
NPI 1194940080
Family Medicine in Kokomo, IN

Active since April 16, 2007
821 N DIXON RD, KOKOMO, IN 46901(765) 452-0878(765) 566-2250 Get Directions Write a Review

NPPES record last updated: May 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wagoner Medical Center, Llc NPPES

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

WAGONER MEDICAL CENTER, LLC (NPI 1194940080) is a healthcare organization registered as a family medicine in Kokomo, Indiana and active in the NPI registry since April 2007. The organization lists Michelle Wagoner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194940080
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAGONER MEDICAL CENTER, LLC
Location Address821 N DIXON RDKokomo, IN 46901-1754
Mailing AddressPo Box 38Burlington, IN 46915-0038
Phone(765) 452-0878
Fax(765) 566-2250
Organization SubpartNo
Authorized OfficialMichelle WagonerAdministrator · (765) 566-3303
Enumeration DateApril 16, 2007
Last NPPES UpdateMay 15, 2009
✔ NPI 1194940080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
821 N DIXON RD, Kokomo, IN 46901
Open in Google Maps ↗

Other Identifiers 1

Medicaid200062260CIN

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.

WILLIAM G TERPSTRA M.D.
Family Medicine
821 N DIXON RD
KOKOMO, IN 46901
Howard County (765) 452-0878
JOHN THOMAS PA-C
Physician Assistant
821 N DIXON RD
KOKOMO, IN 46901
Howard County (765) 452-0878
THOMAS M. REILLY M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
821 N DIXON RD
KOKOMO, IN 46901
Howard County (765) 450-0111
INDIANA SPINE GROUP, PC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
821 N DIXON RD
KOKOMO, IN 46901
Howard County (765) 450-0111
ELIZABETH A BURTON NP-C
Nurse Practitioner
821 N DIXON RD
KOKOMO, IN 46901
Howard County (765) 450-0111

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 Wagoner Medical Center, LLC's NPI number?

The NPI number for Wagoner Medical Center, LLC is 1194940080. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Wagoner Medical Center, LLC located?

Wagoner Medical Center, LLC is located at 821 N Dixon Rd, Kokomo, IN 46901. The listed phone number is (765) 452-0878.

What is Wagoner Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wagoner Medical Center, LLC was last updated on May 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.