THOR WAGNER MD
NPI 1447333521
Pediatrics - Pediatric Infectious Diseases in Seattle, WA

Q: What is Thor Wagner's NPI number?

The NPI number for Thor Wagner is 1447333521. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Thor Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Q: When was this NPI record last updated?

The NPPES record for Thor Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 23, 2006PECOS Enrolled

1959 NE PACIFIC ST, C212, BOX 356340, SEATTLE, WA 98195(206) 543-0065 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Thor Wagner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOR WAGNER MD (NPI 1447333521) is an individual pediatric infectious diseases provider in Seattle, Washington, licensed in Washington (MD00044528) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447333521

Entity TypeIndividualMale

Primary Taxonomy2080P0208X

Provider Legal NameTHOR WAGNERCredential: MD

Location Address1959 NE PACIFIC ST, C212, BOX 356340Seattle, WA 98195-6340

Mailing Address1959 Ne Pacific St, C212, Box 356340Seattle, WA 98195-6340

Phone(206) 543-0065

Sole ProprietorNo

Enumeration DateOctober 23, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1447333521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

License✔ Licensed in WA · MD00044528

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

1959 NE PACIFIC ST, Seattle, WA 98195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thor Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEONIE A NEVILLE PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 598-4874

ALISA BETH KACHIKIS M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195

King County (206) 598-4070

MS. MARY PATRICIA DODGE MS, OTR/L

Occupational Therapist

1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195

King County (206) 598-4830

RIKA SHIRAKAWA M.D.

Ophthalmology

1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195

King County (206) 558-9616

VEDA TSOI M.D.

Anesthesiology

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (801) 556-7628

KATHRYN TAMURA PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195

King County (206) 598-6060

DR. MARK ROBERT, MICHAEL KILGORE M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195

King County (206) 598-1821

DR. SERKAN MEHMET SAHIN M.D.

Hospitalist

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 543-6420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thor Wagner's NPI number?

The NPI number for Thor Wagner is 1447333521. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Thor Wagner located?

Thor Wagner practices at 1959 NE Pacific St C212, Box 356340, Seattle, WA 98195. The listed phone number is (206) 543-0065.

What is Thor Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Thor Wagner enrolled in Medicare?

Yes. Thor Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Thor Wagner accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thor Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thor Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.