Individual provider Active NPI

Richard Downs Wagner, D.O.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1114337334
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R6704 Issued in TX
Practice address
3801 Gaston Ave Ste 200
Dallas, TX 75246-2536
Phone
(214) 823-9630
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R6704 TX Primary

Addresses

Primary practice location

3801 Gaston Ave Ste 200
Dallas, TX 75246-2536

Mailing address

PO Box 612526
Dallas, TX 75261-2526
Phone (972) 256-3700

Other practice location 1

3501 N MacArthur Blvd Ste 500
Irving, TX 75062-3675
Phone (972) 256-3700

Other practice location 2

307 Westpark Way
Euless, TX 76040-3902
Phone (972) 256-3700

Other identifiers 4

IdentifierTypeStateIssuer
200784810AMedicaidOK
388111201MedicaidTX
99526751MedicaidNM
388111202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821002820 TX Practitioner - Obstetrics/Gynecology 2365746435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

3801 Gaston Ave
Suite 200
Dallas, TX 75246-2536
Phone (214) 823-9630

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Women'S Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Apr 1, 2023 Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince May 1, 2019 Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Jul 1, 2018 Accepting new patients
Macarthur Medical Center, PLLC Obstetrics & Gynecology CurrentSince May 1, 2019 Accepting new patients
Women'S Integrated Healthcare, P.a. Obstetrics & Gynecology Current Accepting new patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Randall Burt MD PA Current Accepting new patients
Texas Tech University Health Sciences Center Amarillo Obstetrics & Gynecology CurrentSince Jul 1, 2018 Accepting new patients
Baylor University Medical Center Past Accepting new patients
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Past Accepting new patients
Baylor Medical Center at Irving Past Accepting new patients

Locations

1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600

1400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5585

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3801 Gaston Ave
Ste 200
Dallas, TX 75246
Phone (214) 821-8055

2101 Westpark Ct
Ste 200
Euless, TX 76040

307 Westpark Way
Euless, TX 76040
Phone (682) 253-5437

3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3095 Kingswood Blvd
Ste 250
Grand Prairie, TX 75052
Phone 2143582300 ext. 6225

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

7200 State Highway 161
Ste 130
Irving, TX 75039
Phone (214) 838-2323

3501 N MacArthur Blvd
Ste 365
Irving, TX 75062

3501 N MacArthur Blvd
Ste 600
Irving, TX 75062
Phone (214) 648-6250

3501 N MacArthur Blvd
Ste 500
Irving, TX 75062
Phone (972) 786-0330

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

245 W State Highway 114
Ste 330
Southlake, TX 76092
Phone (817) 416-2229

Interoperability endpoints

  • Direct secure messaging: richard.wagner.1@11541.direct.athenahealth.com
  • Direct secure messaging: rwagner88123@ahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1114337334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612526",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752612526",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462536",
            "telephone_number": "214-823-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 N MacArthur Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750623675",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Westpark Way",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403902",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RICHARD",
        "middle_name": "DOWNS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R6704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200784810A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388111201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99526751",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388111202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.