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

Mr. Matthew David Wagaman, MD

Individual provider Anesthesiology Physician · NPI 1083906952

Mr. Matthew David Wagaman, MD is an Anesthesiology in Provo, Utah. Qualified in 2010, 16 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan, North Dakota and Utah.

Years since qualifying
16
Licensed in
MI, ND, UT
In the registry since
2011
Specialties on file
3
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

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7850
Fax: (770) 701-6675
Show map & directions

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

Additional practice locations (1)

  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 418-8000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 22241 (ND)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301096041 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 9395169-1205 (UT)

Record details

NPI number1083906952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 10, 2011
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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