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Deactivated NPI 1578655486 Deactivated / Inactive NPI Male Practitioner

Dr. Philip Wagenaar , MD

Ophthalmology • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Philip Wagenaar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006
NPI Deactivation Date February 11, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Wagenaar, MD was a registered Ophthalmology practicing in Seattle, WA. Throughout an active medical career spanning 13 years, Dr. Wagenaar provided care at the practice location at 6556 50TH AVE NE until profile deactivation on 2019-02-11.

Practice Location & Contact Primary Location

Practice Address

6556 50th Ave Ne

Seattle, WA 981157737

Telephone 2065269070
Fax 2065260636

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
159 Specialists

Practicing in Seattle, WA (552 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD00005128

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 11, 2019

Record deactivated on February 11, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6556 50TH AVE NE, SEATTLE, WA 981157737 (Tel: 2065269070)

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Updated Business Mailing Address July 08, 2007

Registered at 6556 50TH AVE NE, SEATTLE, WA 981157737 (Tel: 2065269070)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHILIP WAGENAAR, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #MD00005128 in WA)

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578655486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 08, 2007
Deactivation Date: February 11, 2019

Mailing Address

6556 50th Ave Ne

Seattle, WA 981157737

Phone: 2065269070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.