Kyle Wagamon, MD
Kyle Wagamon, MD is a Dermatopathology Physician in Warren, OH, registered under NPI 1780758003. 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 1745 NILES CORTLAND RD NE STE 5, Warren, OH 44484. 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 |
|---|---|---|
| 35083746 | OH | Dermatopathology Physician primary |
| 35083746 | OH | Dermatology Physician |
This provider holds licence 35083746 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Dermatology
- PAC ID
- 6507968385
- Enrollment ID
- I20070711000043
Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Dermatopathology covers
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. NUCC Health Care Provider Taxonomy, code 207ND0900X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207ND0900X | Dermatopathology Physician Dermatopathology | 35083746 | OH | primary |
| 207N00000X | Dermatology Physician | 35083746 | OH |
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 | 1780758003 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 20, 2006 |
| Last updated | Mar 27, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
1745 NILES CORTLAND RD NE STE 5 Warren, OH 44484 (330) 856-6365 Fax (330) 474-3981 |
| Mailing address |
19301 CYCLONE DR Cleveland, OH 44135 |
| Other identifiers |
7474933
· Other (OH) 000000217451 · Other (OH) P00406585 · Other (OH) 415051 · Other (OH) 000000527821 · Other (OH) 2754827 · Medicaid (OH) 748956 · Other (OH) |
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 | 8 | 0 | 7 | 5 | 8 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 7 | 0 | 5 | 5 | 7 | 0 | 0 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
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.