Active NPI
Stanley Clifford Schold, M.D.
- Neurology Physician
- Roanoke, VA
National Provider Identifier
1104831767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MFC1564
- Practice address
- 3 Riverside Circle
Roanoke, VA 24016 - Phone
- (540) 224-5170
- Fax
- (540) 985-9612
- NPI assigned
- Jul 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MFC1564 | FL | Primary |
Addresses
Primary practice location
3 Riverside Circle
Roanoke, VA 24016
Mailing address
3 Riverside Circle
Roanoke, VA 24016
Phone (540) 224-5170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270066200 | Medicaid | FL | |
| 48006 | Other | FL | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1104831767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RIVERSIDE CIRCLE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24016",
"telephone_number": "540-224-5170",
"fax_number": "540-985-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RIVERSIDE CIRCLE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24016",
"telephone_number": "540-224-5170",
"fax_number": "540-985-9612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLD",
"first_name": "STANLEY",
"middle_name": "CLIFFORD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "MFC1564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270066200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "48006",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.