Doctor profile · Federal record
Dr. John Wagoner, M.D.
Internal Medicine Physician · Grand Island, NE
- NPI 1114974284
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
800 N Alpha St
Grand Island, NE 688034320
(308) 382-2010
fax (308) 382-9549
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- February 15, 2008
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Nebraska #14621
- Medicaid
- NE #47071903800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114974284. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Surmodics, INC. | 1 | $17.02 |
By nature of payment
Frequently asked questions
What is Dr. John Wagoner's medical specialty?
Dr. John Wagoner practices Internal Medicine Physician in Grand Island, NE.
Where does Dr. John Wagoner practice?
Dr. John Wagoner practices at 800 N Alpha St, Grand Island, NE 688034320. Office phone: 3083822010.
What is Dr. John Wagoner's NPI?
Dr. John Wagoner's National Provider Identifier (NPI) is 1114974284, issued by NPPES.