JOHN E WAGONER MD
NPI 1891755252
Orthopaedic Surgery in Lafayette, IN

Active since March 27, 2006
1411 S CREASY LN, SUITE 120, LAFAYETTE, IN 47905(765) 447-4165(765) 447-6978 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John E Wagoner Md NPPES

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

JOHN E WAGONER MD (NPI 1891755252) is an individual orthopaedic surgery provider in Lafayette, Indiana, licensed in Indiana (01020202A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1891755252
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN E WAGONERCredential: MD
Location Address1411 S CREASY LN, SUITE 120Lafayette, IN 47905-7433
Mailing AddressPo Box 4699Lafayette, IN 47903-4699 · (765) 447-4165 · Fax (765) 447-6978
Fax(765) 447-6978
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateOctober 24, 2007
NPI 1891755252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IN · 01020202A
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.
1411 S CREASY LN, Lafayette, IN 47905

Other Identifiers 2

Medicare ID-Type Unspecified815010EIN
Medicare UPINC25690IN

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.

Registered Nurse
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physician Assistant (Surgical)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Orthopaedic Surgery
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physical Therapist
1411 S CREASY LN, SUITE 100
LAFAYETTE, IN 47905
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Clinic/Center (Ambulatory Surgical)
1411 S CREASY LN, SUITE 200
LAFAYETTE, IN 47905
Specialist/Technologist, Other (Surgical Technologist)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physical Therapy Assistant
1411 S CREASY LN, STE 100
LAFAYETTE, IN 47905

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 John Wagoner's NPI number?

The NPI number for John Wagoner is 1891755252. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is John Wagoner located?

John Wagoner practices at 1411 S Creasy Ln Suite 120, Lafayette, IN 47905. The listed phone number is (765) 447-4165.

What is John Wagoner'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 John Wagoner was last updated on October 24, 2007. 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.