NPIMap

Organization Active NPI

Wagner Hearing Aid Service Inc

  • Audiologist-Hearing Aid Fitter
  • Charlottesville, VA
National Provider Identifier
1760497101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
2201000223 Issued in VA
Legal business name
WAGNER HEARING AID SERVICE INC
Practice address
218 W Market St
Ste 7
Charlottesville, VA 22902-5061
Phone
(434) 293-7368
Fax
(434) 293-5752
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bruce Robert Wagner, CCC-AUDIOLOGYNPI 1164689683
Title
President
Phone
(434) 293-7368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 2201000223 VA Primary

Addresses

Primary practice location

218 W Market St
Ste 7
Charlottesville, VA 22902-5061

Mailing address

218 W Market St
Ste 7
Charlottesville, VA 22902-5061
Phone (434) 293-7368

Other identifiers 1

IdentifierTypeStateIssuer
9105531MedicaidVA

Other names 1

  • Wagner Hearing Aid Centers Doing business as

National Provider Directory

National Provider Directory

Locations

218 West Market St
Ste 7
Charlottesville, VA 22902
Phone (434) 293-7368

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760497101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W MARKET ST",
            "address_2": "STE 7",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025061",
            "telephone_number": "434-293-7368",
            "fax_number": "434-293-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W MARKET ST",
            "address_2": "STE 7",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025061",
            "telephone_number": "434-293-7368",
            "fax_number": "434-293-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER HEARING AID SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-293-7368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCC-AUDIOLOGY"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2201000223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9105531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wagner Hearing Aid Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.