Dr. Jack Wagoner, MD
Dr. Jack Wagoner, MD practises Anesthesiology in Jackson, Michigan. Qualified in 1986, 40 years ago. Practices with Anesthesia Associates of Ann Arbor PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 40
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
205 N East AveJackson, MI 49201-1753 Not confirmed with CMS for 18 years — call before visiting
Phone: (517) 788-4963
Fax: (517) 789-5903
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 4301-407025 (MI) |
|---|
Record details
| NPI number | 1598700072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 18, 2006 |
| Last updated in NPPES | November 6, 2007 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1986 (40 years in practice) |
| Group practice | Anesthesia Associates Of Ann Arbor Pllc — 217 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 204 |
|---|---|
| Services billed | 253 |
| Average patient age | 72 |
Payments from drug and device companies, 2025
| Food and Beverage | $66 |
|---|
Practises at
- Chelsea Hospital Hospital · Chelsea, MI · listed as Chelsea Community Hospital
- Forest Health Medical Center Hospital · Ypsilanti, MI · listed as Forest Health Medical Center LLC
- University Of Michigan Health System Hospital · Ann Arbor, MI
Colleagues at Anesthesia Associates of Ann Arbor PLLC
- Dr. Kalyani Dhananjay Chitale, MD Anesthesiology Physician · Pontiac, MI
- Tyler Daniel Craig, MD Anesthesiology Physician · Ann Arbor, MI
- Dr. Mark Double, DO Anesthesiology Physician · Jackson, MI
- Beth A Gehan, MD Anesthesiology Physician · Ypsilanti, MI
- MS. Kendal Mullen Gillihan, CRNA Certified Registered Nurse Anesthetist · Royal Oak, MI
- Dr. Zheng-Ping Guo, MD Anesthesiology Physician · Ann Arbor, MI
- Melissa Ann Hentschel, CRNA Certified Registered Nurse Anesthetist · Royal Oak, MI
- Fadi Nader Jirjees, MD Student in an Organized Health Care Education/Training Program · Pontiac, MI
- Nour Kablaoui, AA Anesthesiologist Assistant · Toledo, OH
- Dr. Elizabeth Rose Larsen, MD Anesthesiology Physician · Toledo, OH
- Dr. Ivi Latifi, DO Anesthesiology Physician · Toledo, OH
- Taylor Polidori, CRNA Certified Registered Nurse Anesthetist · Ypsilanti, MI
Other providers in Jackson
-
Ravnita Sharma-Roberts, MD
205 N East Ave, Jackson, MI 49201 · (517) 205-4800
-
Dr. Abigail Susan Smith, MD
205 N East Ave, Jackson, MI 49201-1753 · (517) 205-7836
-
Ryan Sean Sullivan, DO
205 N East Ave, Jackson, MI 49201-1753 · (517) 205-3964
-
Dr. Abdul Kader Tabbara, MD
205 N East Ave, Jackson, MI 49201-1753 · (517) 205-7836
-
Justin West, CRNA
205 N East Ave, Jackson, MI 49201-1753 · (517) 205-7836
-
Dr. Joshua Evan Yankelove, MD
205 N East Ave, Jackson, MI 49201-1753 · (517) 841-7836