JOHN MARK WAGNER MD
NPI 1609819044
Anesthesiology in Olympia, WA

Active since June 14, 2006PECOS Enrolled
3624 ENSIGN RD NE, STE B, OLYMPIA, WA 98506(360) 493-6400 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Mark Wagner Md NPPES

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

JOHN MARK WAGNER MD (NPI 1609819044) is an individual anesthesiology provider in Olympia, Washington, licensed in Washington (29438) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609819044
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJOHN MARK WAGNERCredential: MD
Location Address3624 ENSIGN RD NE, STE BOlympia, WA 98506-5074
Mailing Address804 Scott Nixon Memorial DrAugusta, GA 30907-2464
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 3, 2010
NPI 1609819044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in WA · 29438
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3624 ENSIGN RD NE, Olympia, WA 98506

Other Identifiers 1

Medicare PING001056222WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Mark 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 18

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

Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Counselor (Mental Health)
3624 ENSIGN RD NE, SUITE 5
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE. B
OLYMPIA, WA 98506
Dentist (Oral and Maxillofacial Surgery)
3624 ENSIGN RD NE, SUITE A
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506

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 John Wagner's NPI number?

The NPI number for John Wagner is 1609819044. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is John Wagner located?

John Wagner practices at 3624 Ensign Rd NE Ste B, Olympia, WA 98506. The listed phone number is (360) 493-6400.

What is John Wagner's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is John Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Wagner was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.