Kenneth Wagner, PA-C
Kenneth Wagner, PA-C is a Physician Assistant in Houston, TX, registered under NPI 1700804309. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 17115 RED OAK DR SUITE 211, Houston, TX 77090. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PA00865 | TX | Physician Assistant primary |
| PA00865 | TX | Surgical Physician Assistant |
This provider holds licence PA00865 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Physician Assistant covers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA00865 | TX | primary |
| 363AS0400X | Surgical Physician Assistant Surgical | PA00865 | TX | |
| 363AS0400X | Surgical Physician Assistant Surgical | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1700804309 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 18, 2006 |
| Last updated | Apr 29, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | PA-C |
| Practice address |
17115 RED OAK DR SUITE 211 Houston, TX 77090 (281) 719-9681 Fax (281) 791-0059 |
| Mailing address |
17070 RED OAK DR STE 507 Houston, TX 77090 |
| Other identifiers |
8Y8598
· Other (TX) 198928701 · Medicaid (TX) 87N250 · Other (TX) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 0 | 0 | 8 | 0 | 4 | 3 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 0 | 0 | 7 | 0 | 8 | 3 | 0 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.