Julie K Wagoner (NPI# 1740565845, PAC ID# 4082873906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is AUDIOLOGIST.
| Nation Provider ID (NPI) | 1740565845 |
| PAC ID by PECOS | 4082873906 |
| Professional Enrollment ID | I20120313000838 |
| Full Name | Julie K Wagoner |
| Organization Legal Name | CRANBERRY HEARING AND BALANCE CENTER LLC |
| Address |
6715 Little River Tpke Suite 203 Annandale VA 22003-3546 |
| Phone Number | 7039425844 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | AUDIOLOGIST |
| Group Practice PAC ID | 4981618998 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6715 Little River Tpke, Suite 203, Annandale, VA 22003-3546 | 7039425844 | CRANBERRY HEARING AND BALANCE CENTER LLC |
| Organization Legal Name | CRANBERRY HEARING AND BALANCE CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betsy Marie Sears | Audiologist | Cranberry Hearing and Balance Center LLC | 100 Northpointe Cir, Suite 302, Seven Fields, PA 16046-7851 |
| Mark L Gustina | Audiologist | Cranberry Hearing and Balance Center LLC | 100 Northpointe Cir, Seven Fields, PA 16046-7851 |
| Street Address |
6715 LITTLE RIVER TPKE SUITE 203 |
| City | ANNANDALE |
| State | VA |
| Zip | 22003-3546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Perez | Internal Medicine | 6715 Little River Tpke, Suite 201, Annandale, VA 22003-3546 | |
| Richard A Schwartz | Cardiovascular Disease (cardiology) | Cardiology Specialists of Virginia | 6715 Little River Tpke, Suite 300, Annandale, VA 22003-3546 |
| Muhammad Ali | Internal Medicine | 6715 Little River Tpke, Suite 304, Annandale, VA 22003-3546 | |
| Ly Lan Bergeron | Physician Assistant | Steven J Perez Md PC | 6715 Little River Tpke, Suite 201, Annandale, VA 22003-3546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Cassidy | Orthopedic Surgery | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 | |
| Samuel Hawken | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| Colleen A Kennedy | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| John K Wilson | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Sean C Graham | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan D Campbell | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Megan M Oconnor | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Navdeep K Dhaliwal | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Anna G Davis | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan M Dempsey Lyle | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Find all physicians in zip 22003 | |||
| City | ANNANDALE |
| Zip Code | 22003 |
| Specialty | AUDIOLOGIST |
| City + Specialty | ANNANDALE + AUDIOLOGIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.