SCOTT A WAGNER (NPI# 1396781407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396781407 |
| Entity Type | Individual |
| Full Name | SCOTT A WAGNER |
| Credential | MD |
| Practice Address |
5301 Virginia Way 300 Brentwood TN 37027-7541 |
| Practice Telephone | 6152214474 |
| Practice Fax Number | 6152343774 |
| Mailing Telephone | 6152214474 |
| Mailing Fax Number | 6152343774 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
1036220 | IN | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
1036220 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BC/BS | 000000487827 | 01 |
| OH | 2673665 | 05 | |
| IN | BLUE CROSS BLUE SHIELD | 000000587063 | 01 |
| IN | 100324330 | 05 | |
| IN | RAILROAD MEDICARE | P00685220 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113316 | Scott D Wagner I | Counselor | 319 E Tabor Ave Apt 15319, Fairfield, CA 94533-3955 | 2020-04-24 |
| 1932558822 | Scott Wagner | Pharmacist | 1018 Rosemont, Carmel, IN 46032-7709 | 2016-06-10 |
| 1124492350 | Scott Wagner | Speech-Language Pathologist | 5045 Kennelwood Dr, Saint Louis, MO 63129-2424 | 2015-11-27 |
| 1841514593 | Scott Davis Wagner | Pharmacist | 25059 State Route 11, Hallstead Plaza, Hallstead, PA 18822-8831 | 2010-03-24 |
| 1902909005 | Scott William Wagner | Dentist | 9035 East 62nd Street South, Tulsa, OK 74133 | 2006-09-06 |
| 1053340588 | Scott Brian Wagner | Chiropractor | 2109 India Rd, Charlottesville, VA 22901-2886 | 2006-06-30 |
| 1356801237 | Scott Forbes Wagner | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-03-25 |
| 1811279995 | Scott Wagner | Community Health Worker | 312 Crescent St, Greenville, CA 95947 | 2011-09-14 |
| 1861703613 | Scott Wagner | Orthopaedic Surgery | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2010-06-27 |
| 1538486162 | Scott Allen Wagner | Occupational Therapist | 210 S 12th St, Bismarck, ND 58504-5622 | 2010-04-21 |
| Street Address |
5301 VIRGINIA WAY 300 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-7541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188939 | Don R Domenico | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2005-07-19 |
| 1528349669 | Christiaan Erik De Vries | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2011-09-02 |
| 1457649139 | Olena Dorokhova | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2011-07-15 |
| 1790075505 | Benjamin Keith Chamberlain | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2011-04-13 |
| 1689993529 | Mairo Lami Diolombi | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2010-05-18 |
| 1942526447 | Justin Scott Poling | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2010-04-09 |
| 1750607313 | Christina Mills Birsan | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2010-04-07 |
| 1720314248 | Agne Naujokas | Dermatology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2009-10-19 |
| 1992949309 | Farrukh Gill | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2009-04-29 |
| 1295978500 | Lindsey Nicole Clark | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2009-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235259953 | Joseph S Papiez | Pathology | 201 Summit View, Suite 301, Brentwood, TN 37027 | 2007-03-29 |
| 1730188939 | Don R Domenico | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2005-07-19 |
| 1528349669 | Christiaan Erik De Vries | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2011-09-02 |
| 1538449848 | Marcus Roger Winkler | Pathology | 5301 Virginia Way Ste 300, Brentwood, TN 37027-7542 | 2011-08-18 |
| 1790075505 | Benjamin Keith Chamberlain | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2011-04-13 |
| 1154634012 | Adam Edward Meyer | Pathology | 5301 Virginia Way Ste 300, Brentwood, TN 37027-7542 | 2010-07-21 |
| 1689993529 | Mairo Lami Diolombi | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2010-05-18 |
| 1942526447 | Justin Scott Poling | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2010-04-09 |
| 1750607313 | Christina Mills Birsan | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2010-04-07 |
| 1992949309 | Farrukh Gill | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2009-04-29 |
| Find all providers in BRENTWOOD | ||||
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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.