Ryan Colt Wagoner
M.D. | Forensic Psychiatry | 16+ years Exp
3515 E Fletcher Ave, Mdc 14, Tampa
Florida, 33613-4702
813-974-8900 Maps & DirectionsRyan Colt Wagoner is a Tampa, Florida based psychiatrist with 16 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: | 16+ 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.