MR. SCOTT EDWARD WAGNON (NPI# 1407951668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407951668 |
| Entity Type | Individual |
| Full Name | MR. SCOTT EDWARD WAGNON |
| Credential | PA-C |
| Practice Address |
2830 Crescent Ave Eugene OR 97408-7397 |
| Mailing Address |
1655 S. Elm St. #207 Canby OR 97013-3960 |
| Practice Telephone | 5416869000 |
| Practice Fax Number | 5412424585 |
| Mailing Telephone | 5032605433 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01088 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2830 CRESCENT AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97408-7397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235128471 | Craig A Lash | Pediatrics | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2005-10-20 |
| 1619405305 | Lisette Collings | Physician Assistant | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2017-05-25 |
| 1407389851 | Nicholas Ryan Jones | Family Medicine | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2017-04-04 |
| 1730424805 | Joseph Michael John Russell | Physician Assistant | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2012-11-30 |
| 1457616039 | Elisabeth Lawler | Family Medicine | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2012-07-10 |
| 1275832776 | Oregon Healthcare Resources LLC | Durable Medical Equipment & Medical Supplies | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2011-03-23 |
| 1447435037 | Willamette Community Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2008-01-02 |
| 1003911488 | Rebecca Trojan | Family Medicine | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2006-09-13 |
| 1427007632 | William Brus | Family Medicine | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2006-05-08 |
| 1588634323 | Anita A Geisler | Pediatrics | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2006-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023483419 | Nathaniel J Collins | Physician Assistant | 1292 High St, Suite 224, Eugene, OR 97401 | 2015-12-10 |
| 1700251154 | Icco LLC | Physician Assistant | 1292 High Street, Suite 224, Eugene, OR 97401 | 2015-12-10 |
| 1972875334 | Travis Matsumoto | Physician Assistant | 920 Country Club Rd Ste 200a, Eugene, OR 97401-6086 | 2012-02-01 |
| 1801060645 | Christine Whitaker | Physician Assistant | 2868 Williamette St #100, Village Health Clinic, Eugene, OR 97405 | 2008-04-14 |
| 1962515213 | Jennifer L. Kalata | Physician Assistant | 2911 Tennyson Ave Ste 201, Eugene, OR 97408 | 2006-08-17 |
| 1780609016 | Steven Hillyer | Physician Assistant | 360 S Garden Way Ste 101, Eugene, OR 97401-8034 | 2006-07-13 |
| 1518934751 | Regina M. Fiacco | Physician Assistant | 890 River Rd, Eugene, OR 97404-3233 | 2006-03-07 |
| 1154306199 | Karen A Beer | Physician Assistant | 600 Country Club Rd, Eugene, OR 97401-2240 | 2005-12-13 |
| 1891247078 | Riccara Wright | Physician Assistant | 1800 Coburg Rd, Eugene, OR 97401-4995 | 2016-11-04 |
| 1295138444 | Jennifer Fisher | Physician Assistant | 1255 Hilyard St, Eugene, OR 97401-3718 | 2014-10-02 |
| Find all providers in EUGENE | ||||
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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.