DR. WAYNE L WAGONER DPM
NPI 1508079138
Podiatrist in Maquoketa, IA

Q: What is Wayne Wagoner's NPI number?

The NPI number for Wayne Wagoner is 1508079138. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Q: What is Wayne Wagoner's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Wagoner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 08, 2007

515 ROSEMERE LN, MAQUOKETA, IA 52060(563) 652-9777(563) 652-9778 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Wayne L Wagoner Dpm NPPES

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

DR. WAYNE L WAGONER DPM (NPI 1508079138) is an individual podiatrist in Maquoketa, Iowa, licensed in Iowa (00526) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508079138

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. WAYNE L WAGONERCredential: DPM

Location Address515 ROSEMERE LNMaquoketa, IA 52060-2615

Mailing Address515 Rosemere LnMaquoketa, IA 52060-2615 · (563) 652-9777 · Fax (563) 652-9778

Phone(563) 652-9777

Fax(563) 652-9778

Sole ProprietorYes

Enumeration DateMay 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508079138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in IA · 00526

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

515 ROSEMERE LN, Maquoketa, IA 52060

Open in Google Maps ↗

Other Identifiers 2

Medicaid1083683IA

Medicare ID-Type Unspecified55011IA

Other Providers at the Same Location NPPES

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

WAYNE L. WAGONER, DPM, PC

Clinic/Center (Podiatric)

515 ROSEMERE LN
MAQUOKETA, IA 52060

Jackson County (563) 652-9777

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 Wayne Wagoner's NPI number?

The NPI number for Wayne Wagoner is 1508079138. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Wayne Wagoner located?

Wayne Wagoner practices at 515 Rosemere Ln, Maquoketa, IA 52060. The listed phone number is (563) 652-9777.

What is Wayne Wagoner's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Wayne Wagoner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.