JACKSON D. WAGNON, M.D.P.A.
NPI 1679793350
Orthopaedic Surgery in Lufkin, TX

Active since April 26, 2007
208 GASLIGHT BLVD, LUFKIN, TX 75904(936) 634-8800(936) 634-8836 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson D. Wagnon, M.d.p.a. NPPES

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

JACKSON D. WAGNON, M.D.P.A. (NPI 1679793350) is a healthcare organization registered as an orthopaedic surgery in Lufkin, Texas and active in the NPI registry since April 2007. The organization lists Jackson Wagnon, Physician, as its authorized official.

NPPES Registry Identity

NPI1679793350
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJACKSON D. WAGNON, M.D.P.A.
Location Address208 GASLIGHT BLVDLufkin, TX 75904-3166
Mailing Address208 Gaslight BlvdLufkin, TX 75904-3166 · (936) 634-8800 · Fax (936) 634-8836
Fax(936) 634-8836
Organization SubpartNo
Authorized OfficialJackson WagnonPhysician · (936) 634-8800
Enumeration DateApril 26, 2007
Last NPPES UpdateJune 26, 2008
NPI 1679793350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · G43680
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
208 GASLIGHT BLVD, Lufkin, TX 75904

Other Identifiers 4

Medicare UPINE43680TX
Medicare NSC0491470001TX
Medicaid144108101TX
Medicare PIN00385NTX

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 20

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

Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Physician Assistant
208 GASLIGHT BLVD, SUITE B
LUFKIN, TX 75904
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Specialist/Technologist, Other (Surgical Assistant)
208 GASLIGHT BLVD
LUFKIN, TX 75904
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Orthopaedic Surgery (Orthopaedic Trauma)
208 GASLIGHT BLVD
LUFKIN, TX 75904

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 Jackson D. Wagnon, M.D.P.A.'s NPI number?

The NPI number for Jackson D. Wagnon, M.D.P.A. is 1679793350. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Jackson D. Wagnon, M.D.P.A. located?

Jackson D. Wagnon, M.D.P.A. is located at 208 Gaslight Blvd, Lufkin, TX 75904. The listed phone number is (936) 634-8800.

What is Jackson D. Wagnon, M.D.P.A.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Jackson D. Wagnon, M.D.P.A. was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.