Organization Active NPI

Seminole Total Health Inc

  • Sports Physician Chiropractor
  • Charlottesville, VA
National Provider Identifier
1598774655
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104555923 Issued in VA
Legal business name
SEMINOLE TOTAL HEALTH INC
Practice address
147 Zan Rd
Charlottesville, VA 22901-2858
Phone
(434) 978-4888
Fax
(434) 978-3633
NPI assigned
Aug 7, 2006
Last updated
Sep 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott Brian Wagner, DCNPI 1053340588
Title
Owner
Phone
(434) 978-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 0104555923 VA Primary

Addresses

Primary practice location

147 Zan Rd
Charlottesville, VA 22901-2858

Mailing address

147 Zan Rd
Charlottesville, VA 22901-2858
Phone (434) 978-4888

National Provider Directory

National Provider Directory

Locations

147 Zan Rd
Charlottesvle, VA 22901
Phone (434) 978-4888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1598774655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 ZAN RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012858",
            "telephone_number": "434-978-4888",
            "fax_number": "434-978-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 ZAN RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012858",
            "telephone_number": "434-978-4888",
            "fax_number": "434-978-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE TOTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-978-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104555923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.