Provider Demographics
NPI:1568421824
Name:SCHARPF, SUSAN J (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:J
Last Name:SCHARPF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13901 COALFIELD COMMONS PL STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-1219
Mailing Address - Country:US
Mailing Address - Phone:804-420-1200
Mailing Address - Fax:804-420-1202
Practice Address - Street 1:13901 COALFIELD COMMONS PL STE 201
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-1219
Practice Address - Country:US
Practice Address - Phone:804-420-1200
Practice Address - Fax:804-420-1202
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101054716207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005822343Medicaid
C02381OtherMEDICARE GROUP NUMBER
F24408Medicare UPIN
VA005822343Medicaid