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WAGNER MEDICAL CLINIC
NPI 1720183031
Family Medicine in Manila, AR

Active since September 13, 2006
3644 W STATE HIGHWAY 18, MANILA, AR 72442(870) 561-3300(870) 561-3307 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wagner Medical Clinic NPPES

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

WAGNER MEDICAL CLINIC (NPI 1720183031) is a healthcare organization registered as a family medicine in Manila, Arkansas and active in the NPI registry since September 2006. The organization lists Tommy W Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1720183031
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameT W WAGNER INC
Location Address3644 W STATE HIGHWAY 18Manila, AR 72442-8049
Mailing AddressPo Box 910Manila, AR 72442-0910 · (870) 561-3300 · Fax (870) 561-3307
Phone(870) 561-3300
Fax(870) 561-3307
Organization SubpartNo
Authorized OfficialTommy W WagnerOwner · (870) 561-3300
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 22, 2016
✔ NPI 1720183031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E3873
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A01771 (AR)
3644 W STATE HIGHWAY 18, Manila, AR 72442
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Other Names 1

Doing Business AsWagner Medical Clinic

Other Identifiers 2

Medicaid156106001AR
Medicare PIN5F339AR

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

KARLEY BROOKE MOORE
Nurse Practitioner (Family)
3644 W STATE HIGHWAY 18
MANILA, AR 72442
Mississippi County (708) 561-3300
A & H ENTERPRISES, INC.
Pharmacy (Long Term Care Pharmacy)
3644 W STATE HIGHWAY 18
MANILA, AR 72442
Mississippi County (870) 561-1500
A & H ENTERPRISES, INC.
Pharmacy (Community/Retail Pharmacy)
3644 W STATE HIGHWAY 18
MANILA, AR 72442
Mississippi County (870) 561-1500
HEATHER WAGNER
Pharmacist
3644 W STATE HIGHWAY 18
MANILA, AR 72442
Mississippi County (870) 561-1500
T W WAGNER INC
Clinic/Center (Rural Health)
3644 W STATE HIGHWAY 18
MANILA, AR 72442
Mississippi County (870) 561-3300
DR. AUBREY GARRETT WEAVER DPT
Physical Therapist
3644 W STATE HIGHWAY 18
MANILA, AR 72442
Mississippi County (870) 561-3747
SKIVER LYNN DILLDINE
Nurse Practitioner (Family)
3644 W STATE HIGHWAY 18
MANILA, AR 72442
Mississippi County (870) 561-3300

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 T W Wagner Inc's NPI number?

The NPI number for T W Wagner Inc is 1720183031. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Wagner Medical Clinic.

Where is T W Wagner Inc located?

T W Wagner Inc is located at 3644 W State Highway 18, Manila, AR 72442. The listed phone number is (870) 561-3300.

What is T W Wagner Inc's specialty?

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

What insurance does T W Wagner Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list T W Wagner Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for T W Wagner Inc was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.