NPIMap

Individual provider Active NPI

Scott Joseph Sharbaugh, PAC

  • Physician Assistant
  • Pearisburg, VA
National Provider Identifier
1457463135
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003235 Issued in VA
Practice address
159 Hartley Way
Pearisburg, VA 24134-2471
Phone
(540) 921-6000
Fax
(540) 921-5606
NPI assigned
Aug 31, 2006
Last updated
Dec 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01046 WV
Physician Assistant 363A00000X 0110003235 VA Primary
Medical Physician Assistant 363AM0700X 01046 WV
Surgical Physician Assistant 363AS0400X 01046 WV

Addresses

Primary practice location

159 Hartley Way
Pearisburg, VA 24134-2471

Mailing address

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000281 VA Practitioner - Physician Assistant 0345230520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Practice addresses (Care Compare)

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110003235VAMDPhysician Assistant
01046WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Dec 16, 2013 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Carilion Healthcare Corporation CurrentSince Dec 16, 2013 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Carilion Medical Center CurrentSince Dec 16, 2013 Accepting new patients

Locations

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: ssharbaugh20394@direct.carilionclinic.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1457463135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 HARTLEY WAY",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241342471",
            "telephone_number": "540-921-6000",
            "fax_number": "540-921-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 HARTLEY WAY",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241342471",
            "telephone_number": "540-921-6000",
            "fax_number": "540-921-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARBAUGH",
        "first_name": "SCOTT",
        "middle_name": "JOSEPH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01046",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003235",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01046",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WV",
            "license": "01046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearisburg, VA

Sources for this page

Verify at the official NPI Registry.