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

Dr. Jack Wagoner, MD

Individual provider Anesthesiology Physician · NPI 1598700072

Dr. Jack Wagoner, MD is an Anesthesiology in Jackson, Michigan. Qualified in 1986, 40 years ago. Practices with Anesthesia Associates of Ann Arbor PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
40
Licensed in
MI
In the registry since
2006
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

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4963
Fax: (517) 789-5903
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301-407025 (MI)

Record details

NPI number1598700072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2006
Last updated in NPPESNovember 6, 2007

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Anesthesia Associates Of Ann Arbor Pllc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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