Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992795645 Individual Practitioner Male Practitioner

Dr. Michael A Wagnon , DO

Pediatrics • San Angelo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Michael Wagnon, DO is a registered healthcare professional specializing in Pediatrics in San Angelo, TX. Practice services are available at 225 E BEAUREGARD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

225 E Beauregard Ave

San Angelo, TX 769035920

Telephone 3256581511
Associated Practice Facility / Clinic
🏢 Shannon Clinic Facility NPI 1770587149

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
21 Specialists

Practicing in San Angelo, TX (5841 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX K7486

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
142727001 (TX)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Maegin Carlile , FNP

Nurse Practitioner

NPI 1003168055

Family Nurse Practitioner

Dr. Irvin Zeitler , DO

Family Medicine

NPI 1003856451

Doctor of Osteopathic Medicine (D.O.)

NPI 1003919994

Doctor of Medicine (M.D.)

Dr. Robert Carsner , MD

Internal Medicine

NPI 1013901032

Doctor of Medicine (M.D.)

NPI 1023095783

Doctor of Podiatric Medicine

Dr. Leslie Hutchins , MD

Neurological Surgery

NPI 1023278660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2011

Registered at 225 E BEAUREGARD AVE, SAN ANGELO, TX 769035920 (Tel: 3256581511)

📍
Updated Business Mailing Address November 22, 2011

Registered at PO BOX 22000, SAN ANGELO, TX 769027200 (Tel: 3256581511)

👤
Provider Name / Credentials Updated November 22, 2011

Recorded as MICHAEL WAGNON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2011

Pediatrics (License #K7486 in TX)

🟢
Initial NPI Registration & Enumeration October 25, 2005

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: 1992795645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2005
Last Update: November 22, 2011
Sole Proprietor: No

Mailing Address

Po Box 22000

San Angelo, TX 769027200

Phone: 3256581511

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.