Individual provider Active NPI

Aaron S Wagner, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Orlando, FL
National Provider Identifier
1447401096
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME112962 Issued in FL
Practice address
87 W Jersey St
Suite 1
Orlando, FL 32806
Phone
(407) 422-1377
Fax
(407) 422-1384
NPI assigned
Oct 1, 2008
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuropathology Physician 207ZN0500X ME112962 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD61369100 WA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME112962 FL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 249232 AK
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 81564 AZ

Addresses

Primary practice location

87 W Jersey St
Suite 1
Orlando, FL 32806

Mailing address

87 W Jersey St
Suite 1
Orlando, FL 32806
Phone (407) 422-1377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230627002296 WA Practitioner - Pathology 7315102209 Reassigns benefits to 2 organizations
I20260211000004 AK Practitioner - Pathology 7315102209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Colorado School of Medicine, Denver, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cellnetix Pathology PLLCGroup PAC ID 8224062971, shared by 3 NPIs, 58 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Ms 44
Kirkland, WA 98034-3013
Phone (844) 344-4209

1229 Madison St
Suite 820
Seattle, WA 98104-3539
Phone (206) 576-6094

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 439-5462

1717 S J St
Tacoma, WA 98405-4933
Phone (844) 344-4209

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 403-4573

202 N Division St
Auburn, WA 98001-4939
Phone (253) 545-2440

2490 S Woodworth Loop
Suite 410
Palmer, AK 99645-7411
Phone (807) 745-8100

315 Martin Luther King Jr Way
Ms 315 P4 Lab
Tacoma, WA 98405-4234
Phone (253) 403-4573

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (844) 344-4209

401 15TH Ave SE
Puyallup, WA 98372-3715
Phone (253) 403-4573

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 537-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME112962FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Pathology PS Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2023 Accepting new patients
Cellnetix Pathology, PLLC Neuropathology CurrentSince Jun 1, 2025 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Dec 29, 2025 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2025 Accepting new patients

Locations

2490 S Woodworth Loop
Ste 410
Palmer, AK 99645
Phone (807) 745-8100

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

401 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1848

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

315 Martin Luther King Jr Way
#31
Tacoma, WA 98405

315 Martin Luther King Jr Way
#315P4
Tacoma, WA 98405
Phone (253) 403-4573

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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

Hospital & facility affiliations 9

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1447401096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 W JERSEY ST",
            "address_2": "SUITE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-422-1377",
            "fax_number": "407-422-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 W JERSEY ST",
            "address_2": "SUITE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-422-1377",
            "fax_number": "407-422-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "AARON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "FL",
            "license": "ME112962",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD61369100",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME112962",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AK",
            "license": "249232",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "81564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.