Individual provider Active NPI

Edward J Scheel, MD

  • Vascular Surgery Physician
  • Port St Lucie, FL
National Provider Identifier
1063433555
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME39894 Issued in FL
Practice address
1801 SE Hillmoor Dr
Suite A101
Port St Lucie, FL 34952-7553
Phone
(772) 337-5535
Fax
(772) 337-3655
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME39894 FL Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr
Suite A101
Port St Lucie, FL 34952-7553

Mailing address

1801 SE Hillmoor Dr
Suite A101
Port St Lucie, FL 34952-7553
Phone (772) 486-7879

Other identifiers 1

IdentifierTypeStateIssuer
066510000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39894FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1063433555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "SUITE A101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-486-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "SUITE A101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-337-5535",
            "fax_number": "772-337-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEEL",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME39894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066510000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.