Provider Demographics
NPI:1609837418
Name:SCHEIB, GARY JOHN (DPM)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:JOHN
Last Name:SCHEIB
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22009 BLUERIDGE MT RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:VA
Mailing Address - Zip Code:20130
Mailing Address - Country:US
Mailing Address - Phone:540-592-7441
Mailing Address - Fax:
Practice Address - Street 1:9918 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-273-9818
Practice Address - Fax:703-273-9840
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103300910213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010398835Medicaid
VA010398835Medicaid
VA00W437R02Medicare PIN
VAP00262570Medicare PIN
DC018537F04Medicare PIN