Individual provider · Type 1 NPI

Jackson Wagoner, MD

Pain Medicine (Anesthesiology) Physician · Casper, WY

NPI number 1689137408 Active

Practice location

1541 Diamond Dr
Casper, WY 82601-6247

Mailing address

PO Box 100254
Gainesville, FL 32610-0254

Other practice locations

  • 2600 Sixth St SW, Canton, OH 44710-1702 · (330) 452-9911
  • 1600 SW Archer Rd, Gainesville, FL 32610-1702 · (352) 273-8610
  • 1501 N Campbell Ave Rm 4401, Tucson, AZ 85724-0001 · (520) 626-7721

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician 207LP2900XME169309 (FL)
Anesthesiology Physician 207L00000X69349 (AZ)
Pain Medicine (Anesthesiology) Physician Primary 207LP2900X19414A (WY)
Anesthesiology Physician 207L00000XME169309 (FL)

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

12 other providers at this address

Other pain medicine (anesthesiology) physician providers in Casper

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About NPI 1689137408

Jackson Wagoner, MD's National Provider Identifier is 1689137408, issued on Apr 9, 2019. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Casper, WY. The record was last updated on Apr 8, 2026.