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

Mark David Wagner, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1649211764

Mark David Wagner, MD is a Family Practice in Seattle, Washington. Graduated from University of South Florida College of Medicine in 1982, 44 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
44
Trained at
University of South Florida College of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Dexter Ave N Ste 320
Seattle, WA 98109-4878
Phone: (206) 620-0333
Fax: (206) 462-7520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 — (206) 620-0333

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence MD00022633 (WA)

Record details

NPI number1649211764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESMay 7, 2019
Mailing address1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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