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

Kyle L Wagamon, MD

Individual provider Dermatology Physician · NPI 1780758003

Kyle L Wagamon, MD is a Dermatology in Warren, Ohio. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2002, 24 years ago. Practices with Warren Dermatology and Mohs Surgery LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1745 Niles Cortland Rd NE Ste 5
Warren, OH 44484-6046
Phone: (330) 856-6365
Fax: (330) 474-3981
Show map & directions

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

Additional practice locations (1)

  • 2660 E Market St, Warren, OH 44483-6204 — (330) 393-4000

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 35083746 (OH)
Dermatology Physician Taxonomy 207N00000X · Licence 35083746 (OH)

Record details

NPI number1780758003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address19301 Cyclone Dr, Cleveland, OH 44135-1731

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesPATHOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2002 (24 years in practice)
Group practice Warren Dermatology And Mohs Surgery Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Warren