Alton Harvey Wagnon, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

84-171442-1205 Issued in UT

Practice address

2890 E Cottonwood Pkwy
Salt Lake City, UT 84121-7035

Phone

(801) 333-5357

NPI assigned

Jul 18, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750380176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 MOHAWK CIR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034602",
            "telephone_number": "801-393-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 E COTTONWOOD PKWY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841217035",
            "telephone_number": "801-333-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNON",
        "first_name": "ALTON",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "UT",
            "license": "84-171442-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "84-171442-1205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cierra K Wagner
• Katie Lee Wagner
• Megan Wagner
• Michael Jacob Wagner, M.D.
• Ray Wagner
• Holden M. Wagstaff, MD
• Joshua Truman Wagstaff
• Raymond Samuel Wagstaff
• Sarah Lyn Wagstaff, DNP
• Sameerah Wahab, DO

• Hematology & Oncology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Hematology & Oncology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.