Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wagoner Medical Group PC

Organization Internal Medicine Physician · NPI 1013964162

Wagoner Medical Group PC is an Internal Medicine Physician in Grand Island, Nebraska. Licensed in Nebraska. Registered with an NPI since 2006.

Licensed in
NE
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 N Alpha St
Grand Island, NE 68803-4320
Phone: (308) 382-2010
Fax: (308) 382-9549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NE)
Nephrology Physician Taxonomy 207RN0300X (NE)

Record details

NPI number1013964162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Hughes — Office Manager · (308) 382-2010
NPI enumeratedMay 27, 2006
Last updated in NPPESFebruary 15, 2008
Mailing address800 N Alpha St, Grand Island, NE 68803-4320

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