John Allen Van Wagoner, MD, PA
NPI 1316063993ActiveOrganization· Specialist· Plano, TX
Specialist in Plano, Texas, registered in NPPES in March 2007. The authorized official on file is John Allen Van Wagoner, MD, PA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316063993 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Sep 18, 2025 |
| Certified by provider | Sep 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | K8854 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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