Individual provider Active NPI

Edmund Sciullo, D.O.

  • Emergency Medicine Physician
  • Christiansburg, VA
National Provider Identifier
1063437440
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102203299 Issued in VA
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

Updated by the provider on May 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000397 VA Practitioner - Emergency Medicine 5597651992 Reassigns benefits to 3 organizations

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
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0007296DEMDEmergency Medicine Physician
34-008040-SOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Wildwood Emergency Group, LLC Emergency Medicine CurrentSince Jun 10, 2018 Accepting new patients
Lake Spring Emergency Group, LLC Emergency Medicine CurrentSince Jun 26, 2018 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.