Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Alan Wolgin, MD

Individual provider Orthopaedic Foot and Ankle Surgery Physician · NPI 1780668780

Mark Alan Wolgin, MD is an Orthopedic Surgery in Syracuse, New York. Qualified in 1986, 40 years ago. Practices with Banner Health Physicians Colorado LLC, a 277-clinician group and accepts Medicare assignment. Licensed in Georgia and New York.

Years since qualifying
40
Licensed in
GA, NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone: (315) 251-3100
Fax: (315) 449-9923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 341339 (NY)
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X · Licence 057862 (GA)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 057862 (GA)

Record details

NPI number1780668780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing addressPo Box 580, Syracuse, NY 13214-0580

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Banner Health Physicians Colorado Llc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare