MARK ANDREW WAGNER DO NPI 1336130087

NPI Information

  • NPI: 1336130087
  • Provider Name: MARK ANDREW WAGNER, DO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36680 CLOVERLEAF AVE
    MADERA, CA
    ZIP 93636
  • Phone: (209) 489-9347

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NPI Details

Mark Andrew Wagner, DO is a diagnostic radiology radiology in Madera, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark Andrew Wagner, DO NPI is 1336130087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36680 CLOVERLEAF AVE
MADERA, CA
ZIP 93636-519
Phone: (209) 489-9347
Fax: (209) 720-0107

The NPI 1336130087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)

The enumeration date for this NPI number is 11/2/2005 and was last updated on 6/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology20A5259CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020A52590OTHERCALIFORNIABLUE SHIELD
200AX52590MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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