Mark D Wagner (NPI# 1649211764, PAC ID# 4284762360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649211764 |
| PAC ID by PECOS | 4284762360 |
| Professional Enrollment ID | I20100511000503 |
| Full Name | Mark D Wagner |
| Address |
1000 Dexter Ave N 320 Seattle Sports and Regenerative Medicine Seattle WA 98109-3582 |
| Phone Number | 2069998556 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1000 Dexter Ave N, 320 Seattle Sports and Regenerative Medicine, Seattle, WA 98109-3582 | 2069998556 |
| Street Address |
1000 DEXTER AVE N 320 SEATTLE SPORTS AND REGENERATIVE MEDICINE |
| City | SEATTLE |
| State | WA |
| Zip | 98109-3582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Colten | Physical Therapy | Therapy Management Services, Pllc | 1000 Dexter Ave N, Suite 320, Seattle, WA 98109-4878 |
| Anna R Friedman | Physical Therapy | Therapy Management Services, Pllc | 1000 Dexter Ave N, Suite 320, Seattle, WA 98109-4878 |
| Angela Messerli | Physical Therapy | Therapy Management Services, Pllc | 1000 Dexter Ave N, Suite 320, Seattle, WA 98109-4878 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Luke Hodges | Chiropractic | 101 Nickerson St, Suite 140, Seattle, WA 98109-1620 | |
| Janet M Welle | Nurse Practitioner | 150 Nickerson St, Suite 203, Seattle, WA 98109-1634 | |
| Nicole Therese Shiraev | Clinical Social Worker | 150 Nickerson St, Suite 105, Seattle, WA 98109-1634 | |
| Paul W Johnson | Clinical Psychologist | 150 Nickerson St, Suite 301, Seattle, WA 98109-1634 | |
| David M White | Clinical Psychologist | 150 Nickerson St, Suite 104, Seattle, WA 98109-1634 | |
| Kaylee B Petersen | Nurse Practitioner | Association of University Physicians | 2717 Dexter Ave N, Seattle, WA 98109-1914 |
| Courtney J Sanderson | Physician Assistant | Association of University Physicians | 2717 Dexter Ave N, Seattle, WA 98109-1914 |
| Erin D Shade | Physician Assistant | Association of University Physicians | 2717 Dexter Ave N, Seattle, WA 98109-1914 |
| Ty W Lostutter | Psychologist, Clinical | Association of University Physicians | 2717 Dexter Ave N, Seattle, WA 98109-1914 |
| Nerina Teresa Mcdonald | Physician Assistant | Association of University Physicians | 2717 Dexter Ave N, Seattle, WA 98109-1914 |
| Find all physicians in zip 98109 | |||
| City | SEATTLE |
| Zip Code | 98109 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SEATTLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark D Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.