| Scott Wagner Integrated Medicine LLC | |
|
2109 India Rd Charlottesville VA 22901-2886 | |
| (434) 978-4888 | |
| Not Available |
| Full Name | Scott Wagner Integrated Medicine LLC |
|---|---|
| Speciality | General Practice |
| Location | 2109 India Rd, Charlottesville, Virginia |
| Authorized Official Name and Position | Scott Brian Wagner (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4349784888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Wagner Integrated Medicine LLC 2109 India Rd Charlottesville VA 22901-2886 Ph: (434) 978-4888 | Scott Wagner Integrated Medicine LLC 2109 India Rd Charlottesville VA 22901-2886 Ph: (434) 978-4888 |
| NPI Number | 1447875042 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Medicare PECOS PAC ID | 1153749825 |
|---|---|
| Medicare Enrollment ID | O20200911001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447875042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Darin M Updyke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023056793 PECOS PAC ID: 4587639299 Enrollment ID: I20040826001317 |
| Provider Name | Scott D Chirichetti |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487723003 PECOS PAC ID: 5395774194 Enrollment ID: I20050811000724 |
| Provider Name | Scott Brian Wagner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053340588 PECOS PAC ID: 1153446489 Enrollment ID: I20100910000072 |
| Provider Name | Elizabeth V Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649565003 PECOS PAC ID: 4385814003 Enrollment ID: I20110907000790 |
| Provider Name | Claire Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558616243 PECOS PAC ID: 1951558964 Enrollment ID: I20120827000672 |
| Provider Name | Phyllis Thornton Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831542190 PECOS PAC ID: 5395032536 Enrollment ID: I20161003000375 |
| Provider Name | Darlene Lynette Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184771891 PECOS PAC ID: 0345272621 Enrollment ID: I20171102003220 |
| Provider Name | Holly a Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760950331 PECOS PAC ID: 7719222314 Enrollment ID: I20190102000751 |
| Provider Name | Jaime Lyn Dail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073089249 PECOS PAC ID: 9537594783 Enrollment ID: I20200115002095 |
| Provider Name | Patricia L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366028425 PECOS PAC ID: 8325444375 Enrollment ID: I20210831001812 |
| Provider Name | Jordyn Leonard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669100129 PECOS PAC ID: 7416331533 Enrollment ID: I20220908001265 |
| Provider Name | Natalie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346570058 PECOS PAC ID: 7012199615 Enrollment ID: I20230224002139 |
| Provider Name | Nicholas Butterworth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568065332 PECOS PAC ID: 1850704305 Enrollment ID: I20231214000782 |
| Provider Name | Lisa a Goldstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861055907 PECOS PAC ID: 8224412382 Enrollment ID: I20240112003449 |
| Provider Name | Samantha Halterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669245874 PECOS PAC ID: 6709329709 Enrollment ID: I20240619000034 |
| Provider Name | Meoshia Battle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083434781 PECOS PAC ID: 4486183365 Enrollment ID: I20250122000806 |
| Provider Name | Russell Shawn Haseley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619757036 PECOS PAC ID: 4587188065 Enrollment ID: I20250407000124 |
| Provider Name | Jennifer M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215311436 PECOS PAC ID: 2769799931 Enrollment ID: I20250623004050 |
| Provider Name | Tonya Mcknight James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184591463 PECOS PAC ID: 4183115991 Enrollment ID: I20251121000548 |
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