Advanced Pain Management of Virginia LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANCED PAIN MANAGEMENT OF VIRGINIA LLC

Practice address

2109 India Rd
Charlottesville, VA 22901-2886

Phone

(434) 978-4888

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Wagner, DCNPI 1053340588

Title

Sole Member

Phone

(434) 978-4888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 10

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.

• Scott Brian Wagner, D.C.

  • Sports Physician Chiropractor
  • Charlottesville, VA
  • NPI 1053340588
  Medicare reassignment NPD Authorized official
• Elizabeth Vest Armstrong, FNP-C

  • Family Nurse Practitioner
  • Low Moor, VA
  • NPI 1649565003
  Medicare reassignment NPD
• Scott D Chirichetti, DO

  • Pain Medicine Physician
  • Charlottesville, VA
  • NPI 1487723003
  Medicare reassignment NPD
• Samantha Halterman, FNP-C

  • Family Nurse Practitioner
  • Charlottesville, VA
  • NPI 1669245874
  Medicare reassignment NPD
• Jordyn Leonard, PT, DPT

  • Physical Therapist
  • Prince George, VA
  • NPI 1669100129
  Medicare reassignment NPD
• Meoshia Osinloye, APRN, FNP-BC

  • Family Nurse Practitioner
  • Charlottesville, VA
  • NPI 1083434781
  Medicare reassignment NPD
• Krystyna Lee Portell, FNP

  • Nurse Practitioner
  • Charlottesville, VA
  • NPI 1669954335
  Medicare reassignment NPD
• Nicholas Butterworth, DC

  • Chiropractor
  • Boise, ID
  • NPI 1568065332

  VA

  Medicare reassignment NPD
• Russell Shawn Haseley, DC

  • Chiropractor
  • Buffalo, NY
  • NPI 1619757036

  VA

  Medicare reassignment NPD
• Darlene Lynette Jones, DO

  • Physical Medicine & Rehabilitation Physician
  • Florence, SC
  • NPI 1184771891

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1700637592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 INDIA RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012886",
            "telephone_number": "434-978-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 INDIA RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012886",
            "telephone_number": "434-978-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "434-978-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solyana Haileselassie Admassie, MD
• Michelle A. Adu-Darko, M.D.
• Advanced Dermatology of Charlottesville
• Advanced Dermatology of Charlottesville, PLC
• Advanced Mobile Wound Care of Virginia LLC
• Advanced Practice Services, LLC
• Aesthetic Dentistry of Charlottesville, P.C.
• Affect Therapeutics Inc (Affect Therapeutics)
• Affordable Dentures & Implants - Charlottesville, P.C. (Affordable Dentures & Implants -Charlottesville)
• Samina Afreen, MD

• General Practice Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.