=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568421824
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUSAN J SCHARPF MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2006
-----------------------------------------------------
Last Update Date | 12/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2200 STOCK CREEK BLVD
-----------------------------------------------------
City | ROCKFORD
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-495-7373
-----------------------------------------------------
Fax | 804-495-7373
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 906 CASTLE HOLLOW RD
-----------------------------------------------------
City | MIDLOTHIAN
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23114-4440
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-379-3110
-----------------------------------------------------
Fax | 804-379-3110
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 0101047778
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------