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Scott Wagner Integrated Medicine LLC

NPI 1447875042ActiveOrganization· General Practice· Charlottesville, VA

General Practice in Charlottesville, Virginia, registered in NPPES in June 2020. The authorized official on file is Scott Brian Wagner, DC, Authorized Official. Enrolled in Medicare as dme supplier - medical supply company and part b supplier - clinic/group practice.

Overview

NPI1447875042
StatusActive
Entity typeOrganization
NPI issuedJun 10, 2020
Last updated in NPPESJun 20, 2023
Certified by providerJun 20, 2023

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Medical Supply Company (VA); Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

Other General Practice providers in Charlottesville

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