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

Matthew A Waggoner, PA-C

Individual provider Physician Assistant · NPI 1710991732

Matthew A Waggoner, PA-C is a Physician Assistant in Ann Arbor, Michigan. Qualified in 2008, 18 years ago. Practices with McLaren Hospital Group, a 358-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan, Ohio and Wisconsin.

Years since qualifying
18
Licensed in
MI, OH, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1500 E Medical Center Dr B1FLOOR Cancer & Geriatrics Center Recp C
Ann Arbor, MI 48109-0916
Phone: (734) 936-6000
Show map & directions

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

Additional practice locations (2)

  • 100 County Road B, Shawano, WI 54166-7072 — (715) 526-7308
  • 800 Riverside Dr, Waupaca, WI 54981-1943 — (715) 258-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004953 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 50002316 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 4369 (WI)

Record details

NPI number1710991732
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice McLaren Hospital Group — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Ann Arbor