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

Ryan Colt Wagoner, MD

Individual provider Forensic Psychiatry Physician · NPI 1952531204

Ryan Colt Wagoner, MD is a Psychiatry in Tampa, Florida. Graduated from University of Florida College of Medicine in 2009, 17 years ago. Practices with University Medical Service Association Inc, a 824-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Florida, Georgia and Pennsylvania.

Years since qualifying
17
Trained at
University of Florida College of Medicine
Licensed in
CA, FL, GA, PA
In the registry since
2009
Specialties on file
4
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

3515 E Fletcher Ave Mdc 14
Tampa, FL 33613-4702
Phone: (813) 974-8900
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME119037 (FL)
Forensic Psychiatry Physician Taxonomy 2084F0202X · Licence A124075 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 71582 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT194511 (PA)

Record details

NPI number1952531204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2009
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice University Medical Service Association Inc — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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