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WAYNE L. WAGONER, DPM, PC
NPI 1568707446
Clinic/Center - Podiatric in Maquoketa, IA

Active since December 04, 2012
515 ROSEMERE LN, MAQUOKETA, IA 52060(563) 652-9777(563) 652-9778 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayne L. Wagoner, Dpm, Pc NPPES

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

WAYNE L. WAGONER, DPM, PC (NPI 1568707446) is a healthcare organization registered as a podiatric in Maquoketa, Iowa and active in the NPI registry since December 2012. The organization lists Wayne Leroy Wagoner, Owner, as its authorized official.

NPPES Registry Identity

NPI1568707446
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameWAYNE L. WAGONER, DPM, PC
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
Organization SubpartNo
Authorized OfficialWayne Leroy WagonerOwner · (563) 652-9777
Enumeration DateDecember 4, 2012
✔ NPI 1568707446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in IA · 00526
515 ROSEMERE LN, Maquoketa, IA 52060
Open in Google Maps ↗

Other Identifiers 1

Medicaid1083683IA

Other Providers at the Same Location NPPES

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

DR. WAYNE L WAGONER DPM
Podiatrist
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 L. Wagoner, Dpm, PC's NPI number?

The NPI number for Wayne L. Wagoner, Dpm, PC is 1568707446. It was assigned to this organization in the NPPES registry on December 4, 2012.

Where is Wayne L. Wagoner, Dpm, PC located?

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

What is Wayne L. Wagoner, Dpm, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Wayne L. Wagoner, Dpm, PC was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.