Ryan Colt Wagoner is a Tampa, Florida based psychiatrist with 15 years of experience in Forensic Psychiatry. He completed his graduation from University Of Florida College Of Medicine in 2009. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ryan Colt Wagoner is ME119037 for Psychiatry in Florida. His current practice location is 3515 E Fletcher Ave, Mdc 14, Tampa. Patients can reach him at 813-974-8900. Ryan Colt Wagoner is M.D. in Forensic Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1952531204. Ryan Colt Wagoner focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Complete Profile:
Ryan Colt Wagoner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ryan Colt Wagoner
Specialization:
Forensic Psychiatry
Gender:
Male
Credentials:
M.D.
Experience:
15+ years
Medical School Attended:
University Of Florida College Of Medicine
Graduation Year:
2009
Accepts Medicare Assignment:
Yes
Practice Address:
3515 E Fletcher Ave, Mdc 14, Tampa, Florida, 33613-4702
Phone:
813-974-8900
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9931320223
Enrollment ID:
I20150915001779
NPI Number:
1952531204
NPI Enumeration Date:
21 Jul, 2009
NPI Last Update On:
31 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ryan Colt Wagoner are as mentioned below.
License Number
Specialization
State
Status
ME119037
Psychiatry
Florida
Primary
A124075
Forensic Psychiatry
California
Secondary
71582
Psychiatry
Georgia
Secondary
MT194511
Student in an Organized Health Care Education/Training Program
Pennsylvania
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ryan Colt Wagoner is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
University Medical Service Association Inc (6800790221)
623
Other Medical Identifiers:
Other legacy medical identifiers associated with Ryan Colt Wagoner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
015294500
Medicaid
Florida
1510A
Other
Florida
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ryan Colt Wagoner Po Box 917770, Orlando, Florida
Zip:
32891-0001
Phone Number:
813-974-2201
Fax Number:
813-974-4325
Patients can reach Ryan Colt Wagoner at 3515 E Fletcher Ave, Mdc 14, Tampa, Florida or can call to book an appointment on 813-974-8900.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.