Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598127862 Individual Practitioner Male Practitioner

Dr. Thomas Wagoner , MD

Pediatrics • Bardstown, KY

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Wagoner, MD is a registered healthcare professional specializing in Pediatrics in Bardstown, KY. Practice services are available at 201 S 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 S 5th St

Bardstown, KY 400041142

Telephone 5023486309
Fax 5023482793
Associated Practice Facility / Clinic
🏢 Bardstown Primary Care, Pllc Facility NPI 1053305524

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bardstown, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Bardstown, KY (910 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 57668

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1043773880

Doctor of Medicine (M.D.)

NPI 1063419208

Doctor of Medicine (M.D.)

NPI 1063419877

Doctor of Medicine (M.D.)

Monica Strenecky , APRN

Nurse Practitioner - Family

NPI 1093156929

Advanced Practice Registered Nurse

Kali Smith , APRN

Nurse Practitioner - Pediatrics

NPI 1144554916

Advanced Practice Registered Nurse

NPI 1548267776

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Pediatrics (License #57668 in KY)

📍
Updated Practice Location February 07, 2024

Registered at 201 S 5TH ST, BARDSTOWN, KY 400041142 (Tel: 5023486309)

📍
Updated Business Mailing Address February 07, 2024

Registered at 201 S 5TH ST, BARDSTOWN, KY 400041142 (Tel: 5023486309)

📍
Updated Practice Location July 25, 2019

Registered at 10 MISSILE AVE, MINOT AFB, ND 587055003 (Tel: 7017235424)

📍
Updated Business Mailing Address July 25, 2019

Registered at 10 MISSILE AVE, MINOT AFB, ND 587055003 (Tel: 7017235424)

👤
Provider Name / Credentials Updated July 25, 2019

Recorded as THOMAS WAGONER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2019

Pediatrics (License #25903 in MS)

NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2016

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019845200)

📍
Updated Business Mailing Address March 24, 2016

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019845200)

👤
Provider Name / Credentials Updated March 24, 2016

Recorded as THOMAS WAGONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598127862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2016
Last Update: February 24, 2025
Sole Proprietor: No

Mailing Address

201 S 5th St

Bardstown, KY 400041142

Phone: 5023486309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.