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

Dr. Christopher S Wagoner, MD

Individual provider Family Medicine Physician · NPI 1750583506

Dr. Christopher S Wagoner, MD is a Family Practice in Godfrey, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2007, 19 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
19
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510
Phone: (618) 619-3330
Fax: (618) 619-3385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.125125 (IL)

Record details

NPI number1750583506
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2007
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2007 (19 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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