Individual provider · Type 1 NPI

Trent P. Wagoner, CAA

Anesthesiologist Assistant · Indianapolis, IN

NPI number 1467058438 Active

Practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 615 S New Ballas Rd Dept Of, St. Louis, MO 63141-8221 · (314) 251-6000

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000XNone listed
Anesthesiologist Assistant Primary 367H00000X75000077A (IN)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1467058438

Trent P. Wagoner, CAA's National Provider Identifier is 1467058438, issued on Dec 7, 2020. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 22, 2024.