Russell Wagner
MD | Adult Reconstructive Orthopaedic Surgery | 38+ years Exp
Medicare Enrolled 1500 S Main St, Fort Worth
Texas, 76104-4917
817-702-7144 Maps & DirectionsRussell Wagner is a Fort Worth, Texas based orthopedic surgeon with 38 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from University Of Texas Southwestern Medical School At Dallas in 1987. He is also affiliated with hospitals like Jps Health Network. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Russell Wagner is H4772 for Orthopedic Surgery in Texas.
Russell Wagner deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
Russell Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Adult Reconstructive Orthopaedic Surgery |
| Credentials: | MD |
| Experience: | 38+ years |
| Medical School Attended: | University Of Texas Southwestern Medical School At Dallas |
| Graduation Year: | 1987 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1500 S Main St, Fort Worth,
Texas, 76104-4917 |
| Phone: | 817-702-7144 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4880628445 |
| Enrollment ID: | I20050922000793 |
| NPI Number: | 1154365013 |
| NPI Enumeration Date: | 15 Jun, 2006 |
| NPI Last Update On: | 18 Dec, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| H4772 | Orthopedic Surgery | Texas | Primary | |
| H4772 | Adult Reconstructive Orthopaedic Surgery | Texas | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Jps Health Network (450039) | Fort worth, TX | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Russell Wagner is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Acclaim Physician Group Inc (4587963582) | 436 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8U1280 | Other | Texas | BCBS |
| P00249664 | Other | Texas | RAILROAD MEDICARE PIN |
| 123495705 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 99335,
Fort Worth, Texas |
| Zip: | 76199-0335 |
| Phone Number: | 817-735-2900 |
| Fax Number: | 817-735-2902 |
Patients can reach Russell Wagner at
1500 S Main St, Fort Worth, Texas or can
call to book an appointment on 817-702-7144.
Comments/ Reviews:
Patients can read all the reviews posted for Russell Wagner below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Russell Wagner. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.