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

Theodore A Wagner, MD

Individual provider Orthopaedic Surgery Physician · NPI 1811077894

Theodore A Wagner, MD is an Orthopedic Surgery in Seattle, Washington. Graduated from Temple University School of Medicine in 1968, 58 years ago. Practices with The Association of University Physicians, a 3,459-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
58
Trained at
Temple University School of Medicine
Licensed in
WA
In the registry since
2006
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 Partly verified

Some contact details are missing from the federal record.

Uwmc-Roosevelt 4245 Roosevelt Way NE
Seattle, WA 98105-4740
Phone: (206) 598-4288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence MD00011315 (WA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD00011315 (WA)
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X · Licence MD00011315 (WA)

Record details

NPI number1811077894
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESSeptember 28, 2011
Mailing addressPo Box 50095, Seattle, WA 98145-5095

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1968 (58 years in practice)
Group practice The Association Of University Physicians — 3459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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