Dr. Jackson Wagoner, MD
Dr. Jackson Wagoner, MD is an Anesthesiology in Casper, Wyoming. Graduated from Nebraska College of Medicine in 2019, 7 years ago. Practices with Summit Memorial Medical Group LLC, a 40-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Florida and Wyoming.
- Years since qualifying
- 7
- Trained at
- Nebraska College of Medicine
- Licensed in
- AZ, FL, WY
- In the registry since
- 2019
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1541 Diamond DrCasper, WY 82601-6247
Phone: (307) 439-1097
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 1501 N Campbell Ave Rm 4401, Tucson, AZ 85724-0001 — (520) 626-7721
- 1600 Sw Archer Rd, Gainesville, FL 32610-1702 — (352) 273-8610
- 2600 Sixth St Sw, Canton, OH 44710-1702 — (330) 452-9911
Specialties & licences
| Pain Medicine (Anesthesiology) Physician (primary) | Taxonomy 207LP2900X · Licence 19414A (WY) |
|---|---|
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X · Licence ME169309 (FL) |
| Anesthesiology Physician | Taxonomy 207L00000X · Licence 69349 (AZ) |
| Anesthesiology Physician | Taxonomy 207L00000X · Licence ME169309 (FL) |
Record details
| NPI number | 1689137408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 9, 2019 |
| Last updated in NPPES | April 8, 2026 |
| Certification date | April 8, 2026 |
| Mailing address | Po Box 100254, Gainesville, FL 32610-0254 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | NEBRASKA COLLEGE OF MEDICINE |
| Graduated | 2019 (7 years in practice) |
| Group practice | Summit Memorial Medical Group Llc — 40 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 10 on file with Medicare |
Other providers in Casper
-
Pain Care Center, LLC
5850 E 2nd St Unit 100, Casper, WY 82609-4343 · (307) 212-6270
-
Rocky Mountain Pain Management LLC
419 S Washington St Ste 201, Casper, WY 82601-2951 · (866) 356-4040