GARY L WAGONER MD P A
NPI 1619275617
Family Medicine in Cumberland, MD

Q: What is Gary L Wagoner MD P A's NPI number?

The NPI number for Gary L Wagoner MD P A is 1619275617. It was assigned to this organization in the NPPES registry on March 1, 2011.

Q: What is Gary L Wagoner MD P A's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 01, 2011

925 BISHOP WALSH RD, SUITE 4, CUMBERLAND, MD 21502(301) 777-5326 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2018, Sep 11, 2018 (2 updates tracked since 2018).

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About Gary L Wagoner Md P A NPPES

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

GARY L WAGONER MD P A (NPI 1619275617) is a healthcare organization registered as a family medicine in Cumberland, Maryland and active in the NPI registry since March 2011. The organization lists Gary L Wagoner, Owner, as its authorized official.

NPPES Registry Identity

NPI1619275617

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGARY L WAGONER MD P A

Location Address925 BISHOP WALSH RD, SUITE 4Cumberland, MD 21502-1845

Mailing Address925 Bishop Walsh Rd, Suite 4Cumberland, MD 21502-1845 · (301) 777-5326

Phone(301) 777-5326

Organization SubpartNo

Authorized OfficialGary L WagonerOwner · (301) 777-5326

Enumeration DateMarch 1, 2011

Last NPPES UpdateSeptember 20, 20182 updates tracked since enumeration

✔ NPI 1619275617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D00822181

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.

925 BISHOP WALSH RD, Cumberland, MD 21502

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

CONNIE JO MORRIS MSN, CRNP, FNP-BC

Nurse Practitioner (Family)