Healthcare Provider Details

I. General information

NPI: 1568421824
Provider Name (Legal Business Name): SUSAN J SCHARPF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 STOCK CREEK BLVD
ROCKFORD TN
37853
US

IV. Provider business mailing address

906 CASTLE HOLLOW RD
MIDLOTHIAN VA
23114-4440
US

V. Phone/Fax

Practice location:
  • Phone: 804-495-7373
  • Fax: 804-495-7373
Mailing address:
  • Phone: 804-379-3110
  • Fax: 804-379-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101047778
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: