Susan Wager, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0023202 Issued in WA

Practice address

9661 46TH Ave SW
Seattle, WA 98136-2712

Phone

(206) 932-3416

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1700500022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9661 46TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362712",
            "telephone_number": "206-940-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9661 46TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362712",
            "telephone_number": "206-932-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGER",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD0023202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Wadkins
• Kelly Wadsworth
• Stephen Wadsworth, L.M.P.
• Annabelle Rose Wagar
• Amanda Wager, MSW, MHP
• Adam Clark Waggoner, D.P.T.
• Caroline Mady Waggoner, L.M.P.
• Alpana Waghmare, MD
• Arpan Waghray, MD
• Shyamal Waghwala

• Internal Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.