Elizabeth C Wagoner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.007270 Issued in OH

Practice address

3035 Hamilton Mason Rd Ste 101
Fairfield Township, OH 45011-5545

Phone

(513) 246-2300

Fax

(513) 856-9890

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth C Kester Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethesda North Hospital, Cincinnati, OH, CCN 360179

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Podiatry Associates of Ohio

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, OH
  • NPI 1154031441

  Physician Assistant

  NPD
• Podiatry Associates of Ohio

  • Durable Medical Equipment & Medical Supplies
  • Cincinnati, OH
  • NPI 1205688579
  NPD
• Trihealth Physician Institute

  dba GEROS Physician Extenders

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1922051697

  Physician Assistant

  NPD (past)

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

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1588322291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON MASON RD STE 101",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115545",
            "telephone_number": "513-246-2300",
            "fax_number": "513-856-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON MASON RD STE 101",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115545",
            "telephone_number": "513-246-2300",
            "fax_number": "513-856-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5914 Wolfpen Pleasant Hill Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451503078",
            "country_code": "US",
            "telephone_number": "513-831-7503",
            "fax_number": "513-831-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGONER",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KESTER",
            "middle_name": "C",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nicole Marie Van Gorp
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• Vivmathealthcare LLC (VivaHealth Care LLC)
• Melissa Ward-Brown
• Hailey Marie Ward
• Ashleigh Sue Waterworth, COTA/L
• Keenath Michael Watkins
• Wellness Docs Corporation

• Physician Assistant in Fairfield Township, OH
• Providers in Fairfield Township, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.