MARK W WAGGENER MD
NPI 1871696914
Emergency Medicine in Maplewood, MN

Active since September 06, 2006
1575 BEAM AVE, MAPLEWOOD, MN 55109(651) 232-7348(651) 232-6665 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark W Waggener Md NPPES

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

MARK W WAGGENER MD (NPI 1871696914) is an individual emergency medicine provider in Maplewood, Minnesota, licensed in Minnesota (46143) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1871696914
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK W WAGGENERCredential: MD
Location Address1575 BEAM AVEMaplewood, MN 55109-1126
Mailing Address7866 9th Street Cir NOakdale, MN 55128-5347 · (651) 735-7946
Fax(651) 232-6665
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateAugust 8, 2011
NPI 1871696914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MN · 46143
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1575 BEAM AVE, Maplewood, MN 55109

Other Identifiers 1

Medicaid926495700MN

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.

Anesthesiology
1575 BEAM AVE
MAPLEWOOD, MN 55109
Interpreter
1575 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner (Neonatal)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Interpreter
1575 BEAM AVE
SAINT PAUL, MN 55109
Pharmacy (Institutional Pharmacy)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Hospitalist
1575 BEAM AVE
MAPLEWOOD, MN 55109

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 Mark Waggener's NPI number?

The NPI number for Mark Waggener is 1871696914. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Mark Waggener located?

Mark Waggener practices at 1575 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 232-7348.

What is Mark Waggener's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Mark Waggener was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.