John Allen Van Wagoner, MD, PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

JOHN ALLEN VAN WAGONER, MD, PA

Practice address

703 E FM 544 Ste 160
Murphy, TX 75094-4027

Phone

(214) 764-2844

Fax

(214) 764-2298

NPI assigned

Feb 28, 2025

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, MDNPI 1053389502

Title

President

Phone

(972) 398-3500

Specialties & licenses 1

Addresses

Other names 1

• Southwest Allergy & Asthma Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 M.D. P.a.

  • Allergy & Immunology Physician
  • Denton, TX
  • NPI 1649592205
  NPD tax ID
• John Van Wagoner MD

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

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Allen Vanwagoner, M.D.

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

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1760927172
  NPD (past)
• Tracy Coe, P.A.

  • Medical Physician Assistant
  • Plano, TX
  • NPI 1275568602
  NPD (past)
• Evan Koesler

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1780065755
  NPD (past)
• William Allen Neaville, MD

  • Allergy & Immunology Physician
  • Dallas, TX
  • NPI 1326009614
  NPD (past)
• Cynthia Ai-Nhi Nguyen, PA-C

  • Physician Assistant
  • Sugar Land, TX
  • NPI 1417735390
  NPD (past)
• Kendall Nicole Reiter

  • Family Nurse Practitioner
  • Denison, TX
  • NPI 1417699943
  NPD (past)

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1942007653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDCOM CT STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937887",
            "telephone_number": "972-398-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E FM 544 STE 160",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944027",
            "telephone_number": "214-764-2844",
            "fax_number": "214-764-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ALLEN VAN WAGONER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "VAN WAGONER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-398-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Allergy & Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Domitilla Akuforo Iwu, NP
• Victoria Ngozi Iwuoha, AGACNP-BC
• Mini James, RN, BSN
• Amanda Dawn Jameson
• Meetika Jindal
• Blaike Johnson
• Denise A. Johnson, MD
• Happy Johnson, FNP-C
• Jody L Johnson, NP
• Tori Marie Jordan, OD

• Allergy & Immunology Physician in Murphy, TX
• Providers in Murphy, 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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.