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

Mr. Richard K Waggoner, PA-C

Individual provider Physician Assistant · NPI 1386698835

Mr. Richard K Waggoner, PA-C is a Physician Assistant in Grand Island, Nebraska. Licensed in Nebraska. Registered with an NPI since 2006.

Licensed in
NE
In the registry since
2006
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

2116 W Faidley Ave Ste 400
Grand Island, NE 68803-4671
Phone: (308) 381-0162
Fax: (308) 389-4445
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 342000 (NE)

Record details

NPI number1386698835
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESJuly 13, 2026

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