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ERNESTINE WAGNER, PA, INC
NPI 1184860074
Physician Assistant in North Tazewell, VA

Active since December 23, 2008
29306 G C PEERY HIGHWAY, NORTH TAZEWELL, VA 24630(276) 979-1309(188) 851-0261 Get Directions Write a Review

NPPES record last updated: December 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ernestine Wagner, Pa, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERNESTINE WAGNER, PA, INC (NPI 1184860074) is a healthcare organization registered as a physician assistant in North Tazewell, Virginia and active in the NPI registry since December 2008. The organization lists Ernestine Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1184860074
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameERNESTINE WAGNER, PA, INC
Location Address29306 G C PEERY HIGHWAYNorth Tazewell, VA 24630-9192
Mailing Address29306 G C Peery HighwayNorth Tazewell, VA 24630-9192
Phone(276) 979-1309
Fax(188) 851-0261
Organization SubpartNo
Authorized OfficialErnestine WagnerOwner · (276) 979-1309
Enumeration DateDecember 23, 2008
✔ NPI 1184860074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110001577
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
29306 G C PEERY HIGHWAY, North Tazewell, VA 24630
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ernestine Wagner, PA, Inc's NPI number?

The NPI number for Ernestine Wagner, PA, Inc is 1184860074. It was assigned to this organization in the NPPES registry on December 23, 2008.

Where is Ernestine Wagner, PA, Inc located?

Ernestine Wagner, PA, Inc is located at 29306 G C Peery Highway, North Tazewell, VA 24630. The listed phone number is (276) 979-1309.

What is Ernestine Wagner, PA, Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ernestine Wagner, PA, Inc was last updated on December 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.