SCOTT WAGNER INTEGRATED MEDICINE LLC
NPI 1447875042
General Practice in Charlottesville, VA

Q: What is Scott Wagner Integrated Medicine LLC's NPI number?

The NPI number for Scott Wagner Integrated Medicine LLC is 1447875042. It was assigned to this organization in the NPPES registry on June 10, 2020.

Q: What is Scott Wagner Integrated Medicine LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 10, 2020

2109 INDIA RD, CHARLOTTESVILLE, VA 22901(434) 978-4888 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Feb 13, 2023, Jun 10, 2020 (3 updates tracked since 2020).

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About Scott Wagner Integrated Medicine Llc NPPES

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

SCOTT WAGNER INTEGRATED MEDICINE LLC (NPI 1447875042) is a healthcare organization registered as a general practice in Charlottesville, Virginia and active in the NPI registry since June 2020. The organization lists Scott Brian Wagner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1447875042

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSCOTT WAGNER INTEGRATED MEDICINE LLC

Location Address2109 INDIA RDCharlottesville, VA 22901-2886

Mailing Address2109 India RdCharlottesville, VA 22901-2886 · (434) 978-4888 · Fax (434) 978-3633

Phone(434) 978-4888

Organization SubpartNo

Authorized OfficialScott Brian WagnerAuthorized Official · (434) 978-4888

Enumeration DateJune 10, 2020

Last NPPES UpdateJune 20, 20233 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1447875042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2109 INDIA RD, Charlottesville, VA 22901

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Scott Wagner Integrated Medicine Ll carries, from the Medicare DMEPOS supplier directory.

Scott Wagner Integrated Medicine Ll

DMEPOS supplier · Charlottesville, VAOperated by Scott Wagner Integrated Medicine LLC

✔

Accepts Medicare assignment

Scott Wagner Integrated Medicine Ll agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20413709

Medicare Participant SinceJune 2, 2020

Supplier Location2109 India RdCharlottesville, VA 22901

Phone(434) 978-4888

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT BRIAN WAGNER D.C.

Chiropractor (Sports Physician)