Individual provider Active NPI

Clarence Scranage Jr., M.D

  • Personal Emergency Response Attendant
  • North Chesterfield, VA
National Provider Identifier
1144277765
Registry record updated Jan 18, 2016
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
194829OtherVAANTHEM BLUE CROSS
6065554MedicaidVA

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.