Wolf Karl Von Waagner, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME170625 Issued in FL

Practice address

2306 North Blvd W Ste C
Davenport, FL 33837-8976

Phone

(863) 547-9200

Fax

(863) 547-9221

NPI assigned

Aug 17, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olympia Medical Group, LLC

  • Family Medicine Physician
  • Davenport, FL
  • NPI 1013473495
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Polk North Inc

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1124308580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 RARITAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052345",
            "telephone_number": "718-755-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 NORTH BLVD W STE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378976",
            "telephone_number": "863-547-9200",
            "fax_number": "863-547-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON WAAGNER",
        "first_name": "WOLF",
        "middle_name": "KARL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME170625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visions of Hope Mental Health Services, LLC
• Cooper Vissers, MD
• Vitallink Transportation
• VMD Primary Providers Central Florida PLLC
• Matthew Volker, LMHC
• Walgreen Co
• Walgreen Co
• Cleveland Wallace
• Kaysey Wann, MA, EDM, NCSP, LSP
• Christian Sean Watkins

• General Practice Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.