Individual provider Active NPI

Paul F. Schellhammer, M.D.

  • Urology Physician
  • VA Beach, VA
National Provider Identifier
1760460893
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101025375 Issued in VA
Practice address
225 Clearfield Ave
VA Beach, VA 23462-1815
Phone
(757) 442-6050
Fax
(757) 961-3696
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101025375 VA Primary

Addresses

Primary practice location

225 Clearfield Ave
VA Beach, VA 23462-1815

Mailing address

225 Clearfield Ave
VA Beach, VA 23462-1815
Phone (757) 442-6050

Other identifiers 3

IdentifierTypeStateIssuer
331818OtherVAANTHEM BC BS
007501595MedicaidVA
52623OtherVASENTARA HEALTHCARE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101025375VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Virginia PC Past Accepting new patients
Urology of Virginia, PC Urology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pschellhammer1155435@direct.bsmhealth.org

Organizations & group practices 2

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1760460893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLEARFIELD AVE",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-442-6050",
            "fax_number": "757-961-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLEARFIELD AVE",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-442-6050",
            "fax_number": "757-961-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLHAMMER",
        "first_name": "PAUL",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101025375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "331818",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007501595",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA HEALTHCARE",
            "identifier": "52623",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in VA Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.