Active NPI
Clarence Scranage Jr., M.D
- Personal Emergency Response Attendant
- North Chesterfield, VA
National Provider Identifier
1144277765
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Apr 19, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- Practice address
- 713 N Courthouse Rd
Suite 200
North Chesterfield, VA 23236-4074 - Phone
- (804) 858-3040
- Fax
- (888) 849-0589
- NPI assigned
- May 28, 2006
- Last updated
- Jan 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | Primary |
Addresses
Primary practice location
713 N Courthouse Rd
Suite 200
North Chesterfield, VA 23236-4074
Mailing address
PO Box 38959
Henrico, VA 23231-1311
Phone (804) 840-6575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194829 | Other | VA | ANTHEM BLUE CROSS |
| 6065554 | Medicaid | VA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back Pain Inc | Past | Accepting new patients | |
| Virginia Mobile Wound Care Physicians LLC | Past | Accepting new patients | |
| Southside Community Hospital, Inc. | Past | Accepting new patients | |
| Centra Health Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Petersburg, VA
- NPI 1124140918
-
- General Acute Care Hospital
- Lynchburg, VA
- NPI 1770693939
-
dba Centra Southside Community Hospital
- General Acute Care Hospital
- Farmville, VA
- NPI 1518952761
-
- Foot & Ankle Surgery Podiatrist
- Midlothian, VA
- NPI 1447649165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1144277765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38959",
"city": "HENRICO",
"state": "VA",
"postal_code": "232311311",
"telephone_number": "804-840-6575",
"fax_number": "866-855-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 N COURTHOUSE RD",
"address_2": "SUITE 200",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232364074",
"telephone_number": "804-858-3040",
"fax_number": "888-849-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRANAGE",
"first_name": "CLARENCE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "194829",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6065554",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.