MR. KENNETH W WAGNER PA-C
NPI 1700804309
Physician Assistant in Houston, TX
- Individual
- Male
- Physician Assistant
- Accepts Insurance
About KENNETH WAGNER
This page provides the complete NPI Profile along with additional information for Kenneth Wagner, a primary care provider established in Houston, Texas with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1700804309 assigned on July 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA00865 (TX). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1700804309 Verify this NPI
- Provider Name
- MR. KENNETH W WAGNER PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 17115 RED OAK DR SUITE 211 HOUSTON, TX 77090
- Location Phone
- (281) 719-9681
- Location Fax
- (281) 791-0059
- Mailing Address
- 17070 RED OAK DR STE 507 HOUSTON, TX 77090
- Mailing Phone
- (281) 719-9681
- Mailing Fax
- (281) 791-0059
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-18-2006
- Last Update Date
- 04-29-2021
- Code Navigator
A primary care provider (PCP) like Kenneth Wagner sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA00865
- License State
- TX
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA00865 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 198928701 | MEDICAID (05) | TX | |
| 87N250 | OTHER (01) | TX | BCBS |
| 8Y8598 | OTHER (01) | TX | BCBSTX |
Reviews for MR. KENNETH W WAGNER PA-C
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HOUSTON, TX 77090
HOUSTON, TX 77090
HOUSTON, TX 77090
HOUSTON, TX 77090
HOUSTON, TX 77090
HOUSTON, TX 77090
HOUSTON, TX 77090
HOUSTON, TX 77090
HOUSTON, TX 77090
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700804309, enumerated as an "individual" on July 18, 2006.
The provider is located at 17115 RED OAK DR SUITE 211 HOUSTON, TX 77090 and the phone number is (281) 719-9681.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare,. Please consult your insurance carrier or call the provider to verify.
