Kenneth Wagner, PA-C
NPI 1700804309 · Physician Assistant · Houston, TX
Kenneth Wagner, PA-C is a Physician Assistant provider in Houston, TX (NPI 1700804309).
Provider details
- NPI number
- 1700804309
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA00865 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
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
- 2006-07-18
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Kenneth Wagner's NPI number?
- Kenneth Wagner's National Provider Identifier (NPI) is 1700804309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Wagner's specialty?
- Kenneth Wagner is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Wagner located?
- Kenneth Wagner's practice location on file with NPPES is 17115 Red Oak Dr, Houston, TX 77090-2641.
- What is Kenneth Wagner's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Wagner is (281) 719-9681.
- Is Kenneth Wagner's NPI active?
- Yes — Kenneth Wagner's NPI (1700804309) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.