MELISSA WAGNER (NPI# 1063820710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063820710 |
| Entity Type | Individual |
| Full Name | MELISSA WAGNER |
| Credential | RDMS |
| Practice Address |
1970 Roanoke Blvd Salem VA 24153-6404 |
| Practice Telephone | 6513354919 |
| Mailing Telephone | 6513354919 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
153306 | VA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932664075 | Melissa R Wagner | Counselor | 1824 Ratchford Dr, Dallas, NC 28034-7528 | 2019-02-03 |
| 1417598491 | Melissa Anne Wagner | Nurse Practitioner | 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090 | 2019-10-01 |
| 1306408109 | Melissa Anne Wagner | Registered Nurse | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2019-07-01 |
| 1073006037 | Melissa Marie Wagner | Speech-Language Pathologist | 8848 Red Oak Blvd Ste Aa, Charlotte, NC 28217-5595 | 2018-06-13 |
| 1275077265 | Melissa Hart Wagner | Occupational Therapist | 120 Cavette Hill Ln, Rehab Department, Knoxville, TN 37934-6673 | 2016-12-09 |
| 1356891105 | Melissa Wagner | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-10-05 |
| 1174992382 | Melissa Dalton Wagner | Nurse Practitioner | 64 Kirk Plz, Inez, KY 41224 | 2015-09-17 |
| 1366843229 | Melissa Wagner | Psychologist | 3443 W Shaw Ave, Fresno, CA 93711-3249 | 2014-09-10 |
| 1366763708 | Melissa Sue Wagner | Nurse Practitioner | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2010-06-21 |
| 1639338478 | Melissa A Wagner | Massage Therapist | 207 W Summit St, Souderton, PA 18964-2054 | 2008-06-06 |
| Street Address |
1970 ROANOKE BLVD |
| City | SALEM |
| State | VA |
| Zip Code | 24153-6404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960301 | Paul Shearer | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2005-05-24 |
| 1821697301 | Tammy C'w Yu | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-10-26 |
| 1649886599 | Rebecca Elizabeth Stevenson | Psychologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-09-16 |
| 1013529098 | Salihah Ali | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-08-20 |
| 1043838303 | Jasper Jade Dikit Raguindin | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-13 |
| 1568080976 | Morgan Cook | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-13 |
| 1508484528 | Lisa M Harrison | Nurse Practitioner | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-07 |
| 1417575432 | Hannah Wilkoff | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-07 |
| 1952928764 | Stephanie Nicole May | Nurse Practitioner | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-06-26 |
| 1396369336 | Callie Mashburn | Optometrist | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053657247 | Kelli Hollingsworth | Radiologic Technologist | 1420 3rd St Sw Ste 1b, Roanoke, VA 24016-5205 | 2012-12-17 |
| 1962779587 | Ultrasound Scanning Services, Inc. | Radiologic Technologist | 2900 Young Dr, Oakton, VA 22124-1452 | 2011-11-28 |
| 1336326776 | Shana Joy Hill | Radiologic Technologist | 2516 Belmont Terrace, 2h, Fredericksburg, VA 22401 | 2008-01-29 |
| 1699876706 | Bistate Diagnostic | Radiologic Technologist | Rr2 Box 26 Riverbend Est, Bluefield, VA 24605-0784 | 2006-09-25 |
| 1891983953 | Fairfax Ob-gyn Associates, Inc. | Radiologic Technologist | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 | 2007-10-13 |
| 1720272909 | Rodolfo Alain Morera | Radiologic Technologist | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2007-08-30 |
Please comment or provide details below to improve the information on MELISSA WAGNER.
| 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.