Charles Wesley Wagner, MD - Surgery in Little Rock, AR

Charles Wesley Wagner, MD is a Surgery - Pediatric Surgery physician based in Little Rock, Arkansas. Charles Wesley Wagner is licensed to practice in Arkansas (license number N-7036) and his current practice location is 12609 Saint Charles Blvd, Little Rock, Arkansas. He can be reached at his office (for appointments etc.) via phone at (501) 680-0738.

NPI number for Charles Wesley Wagner is 1003532268 and his current mailing address is 1 Childrens Way, Little Rock, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003532268.

Contact Information

Charles Wesley Wagner, MD
12609 Saint Charles Blvd,
Little Rock, AR 72211-2227
(501) 680-0738
Not Available



Physician's Profile

Full NameCharles Wesley Wagner
GenderMale
SpecialitySurgery - Pediatric Surgery
Location12609 Saint Charles Blvd, Little Rock, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003532268
  • Provider Enumeration Date: 10/18/2022
  • Last Update Date: 10/18/2022

Medical Identifiers

Medical identifiers for Charles Wesley Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003532268NPI-NPPES
N-7036OtherARGENERAL PRACTICE
N-7036MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery N-7036 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Wesley Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Wesley Wagner, MD
1 Childrens Way,
Little Rock, AR 72202-3500

Ph: (501) 364-1447
Charles Wesley Wagner, MD
12609 Saint Charles Blvd,
Little Rock, AR 72211-2227

Ph: (501) 680-0738

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Surgery Doctors in Little Rock, AR

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Mrs. Elaine Marie Thrash, PA
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Oleksiy Gudz, M.D.,PHD
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Dr. Jonathan Amarkwei Laryea, MB CHB
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Dr. Jordan W Greer, M.D.
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David Sayre Bard, MD
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Practice Location: 9501 Lile Drive, Ste 777, Little Rock, AR 72205
Phone: 501-228-7779    Fax: 501-228-7877

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