ROBERT R SCIULLI JR. (NPI# 1033154398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033154398 |
| Entity Type | Individual |
| Full Name | ROBERT R SCIULLI JR. |
| Credential | PA-C |
| Practice Address |
171 Baylor Rd Chattanooga TN 37405-2506 |
| Mailing Address |
4976 Alpha Ln Hixson TN 37343-5470 |
| Practice Telephone | 4233080280 |
| Practice Fax Number | 4233080281 |
| Mailing Telephone | 4233080280 |
| Mailing Fax Number | 4239549019 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1604 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4980 Alpha Ln, Hixson, TN 373435470 | 4238702450 | 4238705208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926417 | Robert L Sciulli | Radiology | 16 Carrier Blf, Bluffton, SC 29909-7016 | 2005-07-19 |
| Street Address |
171 BAYLOR RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1093340333 | Dave Aitken | Chiropractor | 110 Woodland Ave., Chattanooga, TN 37405 | 2020-03-06 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1205339033 | Ignite Chiropractic, LLC | Chiropractor | 200 Manufacturers Rd, Ste 210, Chattanooga, TN 37405 | 2018-03-18 |
| 1710486881 | Alexis Beasley Gaylor | Specialist/Technologist | 1185 Mountian Creek Road, Apt 405, Chattanooga, TN 37405 | 2018-02-05 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1154876746 | Joan Stewart Mickles | Counselor | 9 Fairhills Drive, Chattanooga, TN 37405 | 2016-08-24 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1063814515 | Mcallister Personal Care Consultants | Home Health | 419 N. Market Street, Chattanooga, TN 37405 | 2014-09-16 |
| Find all providers in zip 37405 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1174008759 | Melissa Ann Hart | Physician Assistant | 2518 Waterhaven Dr, Chattanooga, TN 37406-1143 | 2018-09-28 |
| 1124510193 | Carter Alexis Pieper | Physician Assistant | 961 Spring Creek Rd Ste 100, Chattanooga, TN 37412-3959 | 2018-06-05 |
| 1306352844 | Anne Marie Medved | Physician Assistant | 1185 Mountain Creek Rd Apt 1410, Chattanooga, TN 37405-1657 | 2017-12-20 |
| 1225577190 | Stephanie Ford Mcallister | Physician Assistant | 7446 Shallowford Rd Ste 104, Chattanooga, TN 37421-8817 | 2017-02-13 |
| 1386182269 | Laura Ann Hixon | Physician Assistant | 901 Riverfront Pkwy Ste 300, Chattanooga, TN 37402-2198 | 2017-02-10 |
| 1407203409 | Hannah James | Physician Assistant | 5616 Brainerd Rd Ste 208, Chattanooga, TN 37411-5376 | 2016-05-19 |
| 1639556970 | Amanda Carleo | Physician Assistant | 6035 Shallowford Rd Ste 101, Chattanooga, TN 37421-1688 | 2015-05-06 |
| 1003200312 | Brittany Cannon | Physician Assistant | 979 E 3rd St Ste G, Chattanooga, TN 37403-2136 | 2015-03-25 |
| 1619368727 | Brittney Viar | Physician Assistant | 2358 Lifestyle Way, Suite 212, Chattanooga, TN 37421-2291 | 2015-02-11 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.