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

Meredith Wall Wagner, MD

Individual provider Dermatology Physician · NPI 1316380694

Meredith Wall Wagner, MD is a Dermatology in Pittsburgh, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Avera Marshall, a 100-clinician group and accepts Medicare assignment. Licensed in Alabama, California, Illinois and Tennessee.

Years since qualifying
13
Licensed in
AL, CA, IL, TN
In the registry since
2013
Specialties on file
4
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

4 Smithfield St Fl 11
Pittsburgh, PA 15222-2222
Phone: (412) 224-2336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 58455 (TN)
Dermatology Physician Taxonomy 207N00000X · Licence MD.48544 (AL)
Dermatology Physician Taxonomy 207N00000X · Licence A146514 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 036.165930 (IL)

Record details

NPI number1316380694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2013
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing addressPo Box 38567, Germantown, TN 38183-0567

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Avera Marshall — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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