Joseph G Servideo, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

0101026570 Issued in VA

Practice address

500 Hospital Dr
Warrenton, VA 20186-3027

Phone

(540) 349-0595

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1013921972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223323",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201533323",
            "telephone_number": "540-349-0595",
            "fax_number": "540-349-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863027",
            "telephone_number": "540-349-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVIDEO",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101026570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010055555",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6019951",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin R Seager, M.D.
• Jennifer Seiling
• John Richard Sellars, LCPC
• Thomas Clayton Sentz, DDS
• Serenity Home Healthcare-Warrenton
• Gifty Nkromah Sey, NP
• Shannon Moore, O.D., P.C.
• Elaine Darlene Shea, LCSW
• Karen E. Shea, L.P.T.
• Ryan M Shearer, D.D.S.

• Emergency Medical Services (Emergency Medicine) Physician in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.