Provider Demographics
NPI:1205899143
Name:VARGO, JILL SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:SCOTT
Last Name:VARGO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4 VANDERBILT PARK DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1700
Mailing Address - Country:US
Mailing Address - Phone:828-258-9533
Mailing Address - Fax:828-253-4434
Practice Address - Street 1:4 VANDERBILT PARK DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1700
Practice Address - Country:US
Practice Address - Phone:828-258-9533
Practice Address - Fax:828-253-4434
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2013-05-28
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Provider Licenses
StateLicense IDTaxonomies
NC37965207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC213892OtherMEDICARE PROVIDER NUMBER
NC84798OtherBLUE CROSS
NC1780647578OtherGROUP NPI
NC8984798Medicaid
NCCC9899Medicare PIN
NC213892OtherMEDICARE PROVIDER NUMBER
NC8984798Medicaid
NC660001475Medicare PIN