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

Theodore T Wagner III, MD

Individual provider Urology Physician · NPI 1831162791

Theodore T Wagner III, MD is an Urology in Lafayette, Indiana. Graduated from Ohio State University College of Medicine in 1994, 32 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
32
Trained at
Ohio State University College of Medicine
Licensed in
IN
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

3920 St Francis Way Ste 105
Lafayette, IN 47905-4917
Phone: (765) 502-4000
Fax: (765) 502-4709
Show map & directions

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

Additional practice locations (1)

  • 11141 Parkview Plaza Dr Ste 325, Fort Wayne, IN 46845-1714 — (260) 425-5400

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 01050471A (IN)

Record details

NPI number1831162791
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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