Vanessa Scialom, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA07972 Issued in TX

Practice address

8441 State Highway 47
Bryan, TX 77807-3207

Phone

(979) 776-8896

NPI assigned

Jul 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Texas Spine Institute, LLPGroup PAC ID 8921169764, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospital at Westlake Medical Center Hospital, Austin, TX, CCN 670006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16734/brand/1/csg/1/fhir/r4
• Direct secure messaging: vanessa.scialom.1@16734.direct.athenahealth.com

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.

• Central Texas Spine Institute, LLP

  • Orthopaedic Surgery of the Spine Physician
  • Austin, TX
  • NPI 1790702553
  Medicare reassignment Care Compare group
• Clinical Neuroscience Services PLLC

  • Neurological Surgery Physician
  • Bryan, TX
  • NPI 1669723342
  NPD (past)
• Jonathan a. Friedman, M.D., PLLC

  • Physician Assistant
  • Bryan, TX
  • NPI 1629127212
  NPD (past)

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

• Westlake Surgical, L.P.

  • General Acute Care Hospital
  • West Lake Hills, TX
  • NPI 1043328198
  Care Compare affiliation

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1649611435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 STATE HIGHWAY 47",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778073207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 STATE HIGHWAY 47",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778073207",
            "telephone_number": "979-776-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIALOM",
        "first_name": "VANESSA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA07972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Lee Schlichtemeier, M.D.
• Paige Ann Schmidt, DO
• Judith Ann Schreckenbach, LMT
• Jordan Schueler
• Marc S Schwartz, MD
• Edwardo Raphael Scott
• Scy Imaging Inc
• Brian Rick Seabolt, M.D.
• Samuel Seale, DDS MS
• David Segrest, M.D.

• Surgical Physician Assistant in Bryan, TX
• Providers in Bryan, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.