Individual provider Active NPI

Edmund D Schoeffler, M.D.

  • Gynecology Physician
  • Richmond, VA
National Provider Identifier
1366427577
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101043764 Issued in VA
Practice address
6600 W Broad St Ste 100
Richmond, VA 23230-1709
Phone
(804) 288-4084
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0101043764 VA Primary

Addresses

Primary practice location

6600 W Broad St Ste 100
Richmond, VA 23230-1709

Mailing address

7130 Glen Forest Dr
Suite 101
Richmond, VA 23226-3754
Phone (804) 288-4084

Other identifiers 1

IdentifierTypeStateIssuer
1366427577MedicaidVA

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
I20100220000309 VA Practitioner - Obstetrics/Gynecology 4688718208 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101043764VAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Apr 18, 2018 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Apr 18, 2018 Accepting new patients
Virginia Womens Center Inc CurrentSince Jan 1, 2011 Accepting new patients
Summit Health Care Inc Past Accepting new patients
Summit Health Care, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

930 South Ave
Ste 2
Colonial Hgts, VA 23834
Phone (804) 520-8272

8644 Sudley Rd
#220
Manassas, VA 20110

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

6600 W Broad St
Ste 100
Richmond, VA 23230
Phone (804) 288-4087

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

7611 Forest Ave
Ste 200
Richmond, VA 23229

Organizations & group practices 5

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1366427577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DR",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W BROAD ST STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301709",
            "telephone_number": "804-288-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEFFLER",
        "first_name": "EDMUND",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101043764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366427577",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.