John Allen Van Wagoner M.D. P.a.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

K8854 Issued in TX

Legal business name

JOHN ALLEN VAN WAGONER M.D. P.A.

Doing business as

Southwest Allergy & Asthma Center

Practice address

3105 Colorado Blvd.
Ste 150
Denton, TX 76210

Phone

(972) 398-3500

Fax

(972) 398-3512

NPI assigned

Feb 24, 2010

Last updated

Feb 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John A. Van Wagoner, MD PANPI 1053389502

Title

Owner/President

Phone

(972) 398-3500

Specialties & licenses 1

Addresses

Other names 1

• Southwest Allergy & Asthma Center Doing business as

Tax ID family

John Allen Van Wagoner MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• John Allen Van Wagoner, MD, PA

  dba Southwest Allergy & Asthma Center

  • Allergy & Immunology Physician
  • Murphy, TX
  • NPI 1942007653
  NPD tax ID
• John Van Wagoner MD

  dba Southwest ALlergy & Asthma Center

  • Allergy & Immunology Physician
  • Denison, TX
  • NPI 1952624157
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Allen Vanwagoner, M.D.

  • Specialist
  • Plano, TX
  • NPI 1053389502
  NPD (past) Authorized official

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1649592205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WINDCOM COURT",
            "address_2": "STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937817",
            "telephone_number": "972-398-3500",
            "fax_number": "972-398-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 COLORADO BLVD.",
            "address_2": "STE 150",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "972-398-3500",
            "fax_number": "972-398-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ALLEN VAN WAGONER M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "VAN WAGONER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-398-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "K8854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Allergy & Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jitendra N Bhatt, MD, PA
• Jo Anne Nowick Oliver, PA
• Betty Ann Johansen, RN,C,FNP
• Alice Lilith Johansson, LMSW
• Erika Janice Johler, RDCS
• John D White DDS, Inc
• John R. Everett (Acoustic Hearing Solutions)
• John S Kristoferson MD PA
• John Shelton, M.D. P. a.
• Jijimol E John, NP

• Allergy & Immunology Physician in Denton, TX
• Providers in Denton, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.