Provider Demographics
NPI:1235177684
Name:SCIOSCIA, THOMAS NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:NEIL
Last Name:SCIOSCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:5899 BREMO RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1935
Practice Address - Country:US
Practice Address - Phone:804-288-8515
Practice Address - Fax:804-288-4552
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101233878207XS0117X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA197667OtherANTHEM OPERATORY
VA1235177684Medicaid
VA540885859OtherFOCUS
VA010276641Medicaid
VA10008380OtherOPTIMA HEALTH
VA10008380OtherCENVANET
VA193590OtherANTHEM JOHNSTON-WILLIS
VA198247OtherANTHEM ST. FRANCIS
VA3199749OtherAETNA HMO
VA7761456OtherAETNA
VA2147736OtherUNITED HEALTHCARE-MAMSI
VA199791OtherANTHEM MIDLO MRI
VA199792OtherANTHEM FOREST MRI
VA65211OtherSH CARENET
VA193588OtherANTHEM ST. MARY'S
VA440996OtherSOUTHERN HEALTH
VA540885859OtherUNITED HEALTHCARE
VA7211542OtherCIGNA
VAH84920Medicare UPIN
VA010276641Medicaid
VA199791OtherANTHEM MIDLO MRI