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WAGONER MEDICAL CENTER, LLC
NPI 1245458355
Family Medicine in Kokomo, IN

Active since April 23, 2007
2016 W SYCAMORE, KOKOMO, IN 46901(765) 566-3303 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 1245458355) 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

NPI1245458355
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAGONER MEDICAL CENTER, LLC
Location Address2016 W SYCAMOREKokomo, IN 46901
Mailing Address605 E 7th StreetBurlington, IN 46915-0038 · (765) 566-3351 · Fax (765) 566-2250
Phone(765) 566-3303
Organization SubpartNo
Authorized OfficialMichelle WagonerAdministrator · (765) 566-3303
Enumeration DateApril 23, 2007
Last NPPES UpdateMay 15, 2009
✔ NPI 1245458355 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
2016 W SYCAMORE, Kokomo, IN 46901
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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

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 1245458355. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Wagoner Medical Center, LLC located?

Wagoner Medical Center, LLC is located at 2016 W Sycamore, Kokomo, IN 46901. The listed phone number is (765) 566-3303.

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.