Individual provider Active NPI

David Jacob Scheiderer, M.D.

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1699978221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101039766 Issued in VA
Practice address
1328 2ND St SW
Roanoke, VA 24016-4923
Phone
(540) 342-2844
Fax
(540) 342-3510
NPI assigned
Jun 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101039766 VA Primary

Addresses

Primary practice location

1328 2ND St SW
Roanoke, VA 24016-4923

Mailing address

1328 2ND St SW
Roanoke, VA 24016-4923
Phone (540) 342-2844

Other identifiers 1

IdentifierTypeStateIssuer
101944OtherVAANTHEM PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 20, 2016 through Jul 20, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101039766VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychiatry Inc Psychiatry PastSince Aug 18, 2009 Accepting new patients

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": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699978221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 2ND ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164923",
            "telephone_number": "540-342-2844",
            "fax_number": "540-342-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 2ND ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164923",
            "telephone_number": "540-342-2844",
            "fax_number": "540-342-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDERER",
        "first_name": "DAVID",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101039766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "101944",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.