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Matthew Wagner, M.D.
NPI 1790166445 · Family Medicine Physician · Maumelle, AR
Matthew Wagner, M.D. is a Family Medicine Physician provider in Maumelle, AR (NPI 1790166445).
Provider details
- NPI number
- 1790166445
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- E-11361 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1701 Club Manor Dr Ste 2b
Maumelle, AR 72113
Phone: (501) 812-7216
Street-level locationGet directions
Mailing address
1701 Club Manor Dr Ste 2b
Maumelle, AR 72113-7401
Additional practice locations (1)
- 1010 N Kansas StWichita, KS 67214-3124Phone: (316) 293-2665
Registry dates
- Enumerated
- 2015-06-17
- Last updated
- 2018-09-04
Frequently asked questions
- What is Matthew Wagner's NPI number?
- Matthew Wagner's National Provider Identifier (NPI) is 1790166445, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Wagner's specialty?
- Matthew Wagner is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Wagner located?
- Matthew Wagner's practice location on file with NPPES is 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113.
- What is Matthew Wagner's phone number?
- The practice phone number listed in the NPPES registry for Matthew Wagner is (501) 812-7216.
- Is Matthew Wagner's NPI active?
- Yes — Matthew Wagner's NPI (1790166445) is active in the NPPES registry as of the last update on 2018-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.