DR. DAVID WAGONER M.D.
NPI 1447212907
Pediatrics in Charlotte, NC

Q: What is David Wagoner's NPI number?

The NPI number for David Wagoner is 1447212907. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is David Wagoner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for David Wagoner was last updated on November 15, 2010. 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.

Active since April 03, 2006

2711 RANDOLPH RD, SUITE 501, CHARLOTTE, NC 28207(704) 384-8600(704) 384-8610 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. David Wagoner M.d. NPPES

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

DR. DAVID WAGONER M.D. (NPI 1447212907) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (17453) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1447212907

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DAVID WAGONERCredential: M.D.

Location Address2711 RANDOLPH RD, SUITE 501Charlotte, NC 28207-2027

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-8600 · Fax (704) 384-8610

Phone(704) 384-8600

Fax(704) 384-8610

Sole ProprietorNo

Enumeration DateApril 3, 2006

Last NPPES UpdateNovember 15, 2010

✔ NPI 1447212907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 17453

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2711 RANDOLPH RD, Charlotte, NC 28207

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Other Identifiers 3

Medicaid8985210NC

Medicare UPINC81777NC

Medicare ID-Type Unspecified203309ANC

Other Providers at the Same Location NPPES 20

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

MICHAEL AXELSON M.D.

Internal Medicine (Medical Oncology)

2711 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28207

Mecklenburg County (704) 342-1900

JAMES WILLIAM SANDBERG M.D.

Pediatrics (Pediatric Gastroenterology)

2711 RANDOLPH RD, SUITE 301
CHARLOTTE, NC 28207

Mecklenburg County (704) 316-5060

MS. ROSEMARY DEMELLO PT

Physical Therapist

2711 RANDOLPH RD, 509
CHARLOTTE, NC 28207

Mecklenburg County (704) 256-4281

SCOTT MENAKER DDS & PATRICIA RODNEY, DDS, PLLC

Dentist

2711 RANDOLPH RD, SUITE 205
CHARLOTTE, NC 28207

Mecklenburg County (704) 377-2503

SEAN HENRIQUEZ MSP, CCC-SLP

Speech-Language Pathologist

2711 RANDOLPH RD, SUITE 509
CHARLOTTE, NC 28207

Mecklenburg County (704) 256-4281

DR. SAMUEL JACKSON BURROW IV DDS,DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

2711 RANDOLPH RD, SUITE 600
CHARLOTTE, NC 28207

Mecklenburg County (704) 334-7202

DR. JANICE STELLJES NAUMANN MD

Obstetrics & Gynecology

2711 RANDOLPH RD, SUITE 512
CHARLOTTE, NC 28207

Mecklenburg County (704) 333-4104

MECKLENBURG PULMONARY SPECIALISTS, PLLC

Specialist

2711 RANDOLPH RD, STE 208
CHARLOTTE, NC 28207

Mecklenburg County (704) 926-5433

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 David Wagoner's NPI number?

The NPI number for David Wagoner is 1447212907. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is David Wagoner located?

David Wagoner practices at 2711 Randolph Rd Suite 501, Charlotte, NC 28207. The listed phone number is (704) 384-8600.

What is David Wagoner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for David Wagoner was last updated on November 15, 2010. 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.