IndividualActive
Jonathan Wagner, DO
NPI 1851611362 · Pediatric Cardiology Physician · Kansas City, MO
Provider details
- NPI number
- 1851611362
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT013523 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Approximate (ZIP-level) locationGet directions
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Registry dates
- Enumerated
- 2010-06-07
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.