Scott A Wagner (NPI# 1396781407, PAC ID# 4981609708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1396781407 |
| PAC ID by PECOS | 4981609708 |
| Professional Enrollment ID | I20060929000123 |
| Full Name | Scott A Wagner |
| Organization Legal Name | ASSOCIATED PATHOLOGISTS LLC |
| Address |
2101 E Dubois Dr Warsaw IN 46580-3210 |
| Phone Number | 6152214474 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0648167544 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150150 | DUPONT HOSPITAL LLC |
| 151330 | ADAMS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2512 E Dupont Rd, Fort Wayne, IN 46825-1609 | 2604366667 | NORTHEAST INDIANA UROLOGY. P.C. |
| 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2604366667 | NORTHEAST INDIANA UROLOGY. P.C. |
| 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 6152214474 | ASSOCIATED PATHOLOGISTS LLC |
| 2101 E Dubois Dr, Warsaw, IN 46580-3210 | 6152214474 | ASSOCIATED PATHOLOGISTS LLC |
| Organization Legal Name | ASSOCIATED PATHOLOGISTS LLC |
| Physicians | 97 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parisa Mansoori | Pathology | Associated Pathologists LLC | 1901 Phoenix Blvd, Suite 210, Atlanta, GA 30349-5062 |
| Maria Isabel Colome | Pathology | Associated Pathologists LLC | 1010 Airpark Ctr Dr, Suite C, Nashville, TN 37217-5200 |
| Thomas Paul Mezzetti Jr. | Pathology | Associated Pathologists LLC | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7542 |
| Pamela Archuletta | Pathology | Associated Pathologists LLC | 2101 E Dubois Dr, Warsaw, IN 46580-3210 |
| Thomas E Hanes | Pathology | Associated Pathologists LLC | 658 Grassmere Park, Nashville, TN 37211-3682 |
| Jingchuan Wang | Pathology | Associated Pathologists LLC | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Kathy S Bruner | Pathology | Associated Pathologists LLC | 1301 N Race St, Glasgow, KY 42141-3454 |
| Randall L Woodford | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Harry K Daugherty Jr. | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Xiao-lan Chen | Pathology | Associated Pathologists LLC | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Street Address |
2101 E DUBOIS DR |
| City | WARSAW |
| State | IN |
| Zip | 46580-3210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Archuletta | Pathology | Associated Pathologists LLC | 2101 E Dubois Dr, Warsaw, IN 46580-3210 |
| Shruti Abhijit Shukla | Pathology | Associated Pathologists LLC | 2101 E Dubois Dr, Warsaw, IN 46580-3210 |
| Renee J Brookshire | Certified Registered Nurse Anesthetist | Great Lakes Anesthesia PC | 2101 E Dubois Dr, Warsaw, IN 46580-3210 |
| Sara L Mcnally | Certified Registered Nurse Anesthetist | Great Lakes Anesthesia PC | 2101 E Dubois Dr, Warsaw, IN 46580-3210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin D Day | Chiropractic | 118 W Market St, Warsaw, IN 46580-2812 | |
| Andrew S Yoder | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Andrew Gerritt Smith | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Richard E Ruhrold | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Dawn Boughton | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Amber Joy Richards | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kishore Sriram | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Rhonda Irene Hall | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kelly N Martinczak | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Julie A Moore | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Find all physicians in zip 46580 | |||
| City | WARSAW |
| Zip Code | 46580 |
| Specialty | PATHOLOGY |
| City + Specialty | WARSAW + PATHOLOGY |
Please comment or provide details below to improve the information on Scott A Wagner.
| 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.