Active NPI
Edmund Sciullo, D.O.
- Emergency Medicine Physician
- Christiansburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0102203299
- Practice address
- 2900 Lamb Cir
Christiansburg, VA 24073-6344 - Phone
- (540) 731-2866
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34-008040-S | OH | |
| Emergency Medicine Physician | 207P00000X | C2-0007296 | DE | |
| Emergency Medicine Physician | 207P00000X | 0102203299 | VA | Primary |
Addresses
Primary practice location
2900 Lamb Cir
Christiansburg, VA 24073-6344
Mailing address
2900 Lamb Cir
Christiansburg, VA 24073-6344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911
Hospital & facility affiliations
- Henrico Doctors' Hospital
- CJW Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0007296 | DE | MD | Emergency Medicine Physician |
| 34-008040-S | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Wildwood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Lake Spring Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Marysville Emergency Physicians Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Immediate Health Associates | Emergency Medicine | Past | Accepting new patients |
Locations
3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111
1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
2706 Ogden Rd
Roanoke, VA 24018
Phone (540) 970-8000
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Salem, VA
- NPI 1215429600
-
- Emergency Medicine Physician
- Blacksburg, VA
- NPI 1013409721
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Emergency Medicine Physician
- Westerville, OH
- NPI 1639123193
-
- Emergency Medicine Physician
- Marysville, OH
- NPI 1649271594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1194762294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1063437440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 LAMB CIR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LAMB CIR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344",
"telephone_number": "540-731-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIULLO",
"first_name": "EDMUND",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34-008040-S",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "C2-0007296",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102203299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.