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

Peter B. Vanwagenen, MD

Individual provider Surgery Physician · NPI 1942367438

Peter B. Vanwagenen, MD is a General Surgery in Tacoma, Washington. Graduated from Stanford University School of Medicine in 1974, 52 years ago. Practices with Peacehealth, a 290-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
52
Trained at
Stanford University School of Medicine
Licensed in
WA
In the registry since
2007
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

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone: (253) 596-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD00017550 (WA)

Record details

NPI number1942367438
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESMay 7, 2008
Mailing addressPo Box 34584, Seattle, WA 98124-1584

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1974 (52 years in practice)
Group practice Peacehealth — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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