Michael Wayne Wagoner, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T5488 Issued in TX

Practice address

1109 Azure LN
Celina, TX 75009-1798

Phone

(757) 971-0190

NPI assigned

May 27, 2020

Last updated

Jun 26, 2024By 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

Medicare fee-for-service enrollment

Enrolled in TX

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

Family Practice

Education

Alabama College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

TexomacareGroup PAC ID 3678555307, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• First Texas Home Health Home health agency, Whitesboro, TX, CCN 458193
• Texoma Medical Center Hospital, Denison, TX, CCN 450324
• North Texas Medical Center Hospital, Gainesville, TX, CCN 450090
• Carrus Specialty Hospital Long-term care hospital, Sherman, TX, CCN 452041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.wagoner@tc.eclinicaldirectplus.com

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

• Primary Health Physicians, PLLC

  • Urgent Care Clinic/Center
  • Denton, TX
  • NPI 1770048704
  Medicare reassignment Care Compare group NPD
• Texomacare

  • Family Medicine Physician
  • Denison, TX
  • NPI 1740233592
  Medicare reassignment Care Compare group NPD
• Texomacare

  dba TexomaCare Urgent Care

  • Family Medicine Physician
  • Denison, TX
  • NPI 1912419250
  NPD

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

• First Texas Home Health

  dba 1st Texas Home Health

  • Home Health Agency
  • Whitesboro, TX
  • NPI 1871507863
  Care Compare affiliation
• Gainesville Community Hospital, Inc.

  dba North Texas Medical Center

  • General Acute Care Hospital
  • Gainesville, TX
  • NPI 1972071991
  Care Compare affiliation
• Texoma Hospital Partners, LLC

  dba Carrus Specialty Hospital

  • Long Term Care Hospital
  • Sherman, TX
  • NPI 1205006038

  Long-term care hospital

  Care Compare affiliation
• Uhs of Texoma, Inc

  dba Texoma Medical Center

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1902429749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 AZURE LN",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750091798",
            "telephone_number": "757-971-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 AZURE LN",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750091798",
            "telephone_number": "757-971-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGONER",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T5488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Udofiah, DOULA
• United Smile Center PA (Celina Family Dentistry)
• Keren Varghese, DPT
• Vineeth Viswanathan, M.D.
• Katie Wade
• Wal-Mart Stores Texas, LLC (Walmart Pharmacy 10-1250)
• Wal-Mart Stores Texas, LLC (Walmart Vision Center 30-1250)
• Walgreen Co (Walgreens #21507)
• Lilian Wangondu
• Sabrina Washington

• Family Medicine Physician in Celina, TX
• Providers in Celina, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.