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WAGONER MEDICAL CENTER, LLC
NPI 1457421497
Family Medicine in Burlington, IN

Active since November 08, 2006
605 EAST 7TH STREET, BURLINGTON, IN 46915(765) 566-3351(765) 566-2250 Get Directions Write a Review

NPPES record last updated: May 15, 2009. Verified against the NPPES registry weekly; last sync: October 04, 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 1457421497) is a healthcare organization registered as a family medicine in Burlington, Indiana and active in the NPI registry since November 2006. The organization lists Michelle Wagoner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457421497
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAGONER MEDICAL CENTER, LLC
Location Address605 EAST 7TH STREETBurlington, IN 46915-0038
Mailing AddressPo Box 38Burlington, IN 46915-0038 · (765) 566-3351 · Fax (765) 566-2250
Phone(765) 566-3351
Fax(765) 566-2250
Organization SubpartNo
Authorized OfficialMichelle WagonerAdministrator · (765) 566-3351
Enumeration DateNovember 8, 2006
Last NPPES UpdateMay 15, 2009
✔ NPI 1457421497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
605 EAST 7TH STREET, Burlington, IN 46915
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Other Identifiers 2

Medicare ID-Type Unspecified219510IN
Medicaid200062260IN

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 1457421497. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Wagoner Medical Center, LLC located?

Wagoner Medical Center, LLC is located at 605 East 7th Street, Burlington, IN 46915. The listed phone number is (765) 566-3351.

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.