Individual provider Active NPI

Christian Schueller, CSFA, RSA

  • Surgical Physician Assistant
  • Midlothian, VA
National Provider Identifier
1306388996
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
12220 Chattanooga PLZ
Suite 121
Midlothian, VA 23112-2311
Phone
(803) 716-7914
NPI assigned
Nov 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 0136000271 VA
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

12220 Chattanooga PLZ
Suite 121
Midlothian, VA 23112-2311

Mailing address

12220 Chattanooga PLZ Ste 121
Midlothian, VA 23112-4865
Phone (803) 716-7914

Other identifiers 2

IdentifierTypeStateIssuer
0136000271OtherVABOARD OF MEDICINE
158702OtherSCNATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING (NBSTSA)

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

State licenses

LicenseStateTypeSpecialty
0136000271VAMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gerard Surgical Services, LLC Surgical Assistant Current Accepting new patients

Locations

12220 Chattanooga Plz
Midlothian, VA 23112
Phone (803) 716-7914

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1306388996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 CHATTANOOGA PLZ STE 121",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124865",
            "telephone_number": "803-716-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 CHATTANOOGA PLZ",
            "address_2": "SUITE 121",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122311",
            "telephone_number": "803-716-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUELLER",
        "first_name": "CHRISTIAN",
        "credential": "CSFA, RSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000271",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICINE",
            "identifier": "0136000271",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING (NBSTSA)",
            "identifier": "158702",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.