Active NPI
Vitas Erik Wagner, MD
- Colon & Rectal Surgery Physician
- Tacoma, WA
National Provider Identifier
1982115358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- MD61176219
- Practice address
- 1708 Yakima Ave Ste 105
Tacoma, WA 98405-5300 - Phone
- (253) 552-1200
- Fax
- (253) 552-1239
- NPI assigned
- Oct 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD61176219 | WA | |
| Colon & Rectal Surgery Physician | 208C00000X | MD61176219 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave Ste 105
Tacoma, WA 98405-5300
Mailing address
1708 Yakima Ave Ste 105
Tacoma, WA 98405-5300
Phone (253) 552-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2189171 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Oregon Health Sciences University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1708 Yakima Ave
Suite 105
Tacoma, WA 98405-5300
Phone (253) 552-1200
Hospital & facility affiliations
- St Joseph Medical Center
- St Clare Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61176219 | WA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Surgery | Current | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1708 Yakima Ave
Ste 105
Tacoma, WA 98405
Phone (253) 426-4420
1708 Yakima Ave
Tacoma, WA 98405
Phone (253) 272-2224
Interoperability endpoints
- vwagner501758@fhsce.catholichealth.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Lakewood, WA
- NPI 1689672693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1982115358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE STE 105",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055300",
"telephone_number": "253-552-1200",
"fax_number": "253-552-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE STE 105",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055300",
"telephone_number": "253-552-1200",
"fax_number": "253-552-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "VITAS",
"middle_name": "ERIK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-12",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61176219",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "WA",
"license": "MD61176219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2189171",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.