DR. SCOTT BRIAN WAGNER (NPI# 1053340588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053340588 |
| Entity Type | Individual |
| Full Name | DR. SCOTT BRIAN WAGNER |
| Credential | D.C. |
| Practice Address |
2109 India Rd Charlottesville VA 22901-2886 |
| Practice Telephone | 4349784888 |
| Practice Fax Number | 4349783633 |
| Mailing Telephone | 4349784888 |
| Mailing Fax Number | 4349783633 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
0104555923 | VA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113316 | Scott D Wagner I | Counselor | 319 E Tabor Ave Apt 15319, Fairfield, CA 94533-3955 | 2020-04-24 |
| 1932558822 | Scott Wagner | Pharmacist | 1018 Rosemont, Carmel, IN 46032-7709 | 2016-06-10 |
| 1124492350 | Scott Wagner | Speech-Language Pathologist | 5045 Kennelwood Dr, Saint Louis, MO 63129-2424 | 2015-11-27 |
| 1841514593 | Scott Davis Wagner | Pharmacist | 25059 State Route 11, Hallstead Plaza, Hallstead, PA 18822-8831 | 2010-03-24 |
| 1902909005 | Scott William Wagner | Dentist | 9035 East 62nd Street South, Tulsa, OK 74133 | 2006-09-06 |
| 1356801237 | Scott Forbes Wagner | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-03-25 |
| 1811279995 | Scott Wagner | Community Health Worker | 312 Crescent St, Greenville, CA 95947 | 2011-09-14 |
| 1861703613 | Scott Wagner | Orthopaedic Surgery | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2010-06-27 |
| 1538486162 | Scott Allen Wagner | Occupational Therapist | 210 S 12th St, Bismarck, ND 58504-5622 | 2010-04-21 |
| 1841499258 | Scott John Wagner | Registered Nurse | 3537 S I-35 E, Suite 305, Denton, TX 76210-6800 | 2007-07-16 |
| Street Address |
2109 INDIA RD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875042 | Scott Wagner Integrated Medicine | General Practice | 2109 India Rd, Charlottesville, VA 22901-2886 | 2020-06-10 |
| 1386298917 | Jason Harper | Chiropractor | 2109 India Rd, Charlottesville, VA 22901-2886 | 2019-07-31 |
| 1699272153 | Derek Sisak | Chiropractor | 2109 India Rd, Charlottesville, VA 22901-2886 | 2018-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598774655 | Seminole Total Health Inc | Chiropractor | 147 Zan Rd, Charlottesville, VA 22901-2858 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281527 | Cpcj Inc | Chiropractor | 4628 Portsmouth Blvd Ste 100, Chesapeake, VA 23321-2106 | 2019-02-11 |
| 1528483229 | Dynamic Rehab and Spine, LLC | Chiropractor | 2380 Plank Rd, A, Fredericksuburg, VA 22401 | 2014-03-04 |
| 1043527989 | Virginia Health Solutions, Inc. | Chiropractor | 815 Middle Ground Blvd, Inside Onelife Fitness, Newport News, VA 23606-4209 | 2010-09-13 |
| 1609182088 | Manassas Spine & Sport PC | Chiropractor | 9210 Lee Ave, Manassas, VA 20110-5513 | 2010-08-24 |
| 1427383835 | Thomas Edward Nonnenmacher | Chiropractor | 9986 Spotswood Trl, Mcgaheysville, VA 22840-2421 | 2009-10-03 |
| 1669629085 | Back In Action Chiropractic Center, P.C. | Chiropractor | 4911 Augusta Ave, Richmond, VA 23230-3601 | 2008-08-27 |
| 1962626838 | Douglas Owen Nagel | Chiropractor | 46960 Cedar Lake Plz, Suite 150, Sterling, VA 20164-8657 | 2007-04-12 |
| 1285787150 | Hirad Najafbagy | Chiropractor | 905 Herndon Pkwy, Suite B, Herndon, VA 20170-5536 | 2007-01-22 |
| 1730231101 | Leanne Fink | Chiropractor | 15b Loudoun St Sw, Leesburg, VA 20175-2908 | 2007-01-17 |
| 1407911316 | Stephen M Erle | Chiropractor | 2380a Plank Rd, Ste A, Fredericksburg, VA 22401-4927 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.