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

Dr. Jon Anthony Wagnon, DO

Individual provider Family Medicine Physician · NPI 1265623268

Dr. Jon Anthony Wagnon, DO is a Family Practice in Godfrey, Illinois. Qualified in 2005, 21 years ago. Practices with Cepamerica Illinois LLP, a 493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
21
Licensed in
IL, MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1368 Dadrian Professional Park
Godfrey, IL 62035-1685
Phone: (618) 433-9701
Fax: (618) 433-9706
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036120316 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2006033803 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036120316 (IL)

Record details

NPI number1265623268
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address1368 Dadrian Professional Park, Godfrey, IL 62035-1685

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE, OSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cepamerica Illinois Llp — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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