MEDICARE: SCOTT HOWARD NAGELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101043278	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080156025	OTHER	VA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588657019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT HOWARD NAGELL MD

Provider Business Mailing Address
First Line	:	224-D CORNWALL STREET, NW, SUITE 403
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-2704
Country	:	US
Telephone Number	:	703-737-6010
Fax Number	:	703-443-8643

Provider Business Practice Location Address
First Line	:	44084 RIVERSIDE PARKWAY, SUITE 300
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-5155
Country	:	US
Telephone Number	:	703-724-7530
Fax Number	:	703-858-2870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	09/28/2023

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Directions to “ SCOTT HOWARD NAGELL MD” Practice Location

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