Wagoner Medical Center, LLC
NPI 1194940080 · Family Medicine Physician · Kokomo, IN
Wagoner Medical Center, LLC is a Family Medicine Physician organization in Kokomo, IN (NPI 1194940080).
Provider details
- NPI number
- 1194940080
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Wagoner, Administrator(765) 566-3303
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2009-05-15
Frequently asked questions
- What is Wagoner Medical Center, LLC's NPI number?
- Wagoner Medical Center, LLC's National Provider Identifier (NPI) is 1194940080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagoner Medical Center, LLC?
- Wagoner Medical Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wagoner Medical Center, LLC located?
- Wagoner Medical Center, LLC's practice location on file with NPPES is 821 N Dixon Rd, Kokomo, IN 46901-1754.
- What is Wagoner Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wagoner Medical Center, LLC is (765) 452-0878.
- Who is the authorized official for Wagoner Medical Center, LLC?
- The authorized official listed on Wagoner Medical Center, LLC's NPPES record is Michelle Wagoner, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagoner Medical Center, LLC's NPI active?
- Yes — Wagoner Medical Center, LLC's NPI (1194940080) is active in the NPPES registry as of the last update on 2009-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.