Search › Wyoming › Pain Medicine (Anesthesiology) Physician
Jackson Wagoner, MD
NPI 1689137408 · on the registry since 2019
Practice
- Address
- 1541 Diamond Dr
Casper, WY 82601 - Phone
- (307) 439-1097
- Organisation at this address
- 307 Psychiatry
Divine Womens Care Llc
Sunshine Counseling Llc
Hand And Physical Therapy Of Wyoming Limited PartnershipInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 2600 Sixth St Sw, Canton, OH
- 1501 N Campbell Ave Rm 4401, Tucson, AZ
- 1600 Sw Archer Rd, Gainesville, FL
Registry record
- Primary taxonomy
- Pain Medicine (Anesthesiology) Physician
207LP2900X
- Also registered as
- Pain Medicine (Anesthesiology) Physician
Anesthesiology Physician
Anesthesiology Physician - Licence states on file
- FL, AZ, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming