MEDICARE: VELMA P SCANTLEBURY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204F00000X	Transplant Surgery Physician	24911	AL
2	204F00000X	Transplant Surgery Physician	C1-0008793	DE
3	208600000X	Surgery Physician	C1-0008793	DE
4	208D00000X	General Practice Physician	C1-0008793	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	17-00240	OTHER	AL	UNITED HEALTHCARE
3	51512828	OTHER	AL	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487608667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VELMA P SCANTLEBURY MD

Provider Business Mailing Address
First Line	:	4735 OGLETOWN STANTON RD
Second Line	:	MEDICAL ARTS PAVILION 2, SUITE 2224
City	:	NEWARK
State	:	DE
Zip	:	19713-2072
Country	:	US
Telephone Number	:	302-623-3866
Fax Number	:	302-623-3864

Provider Business Practice Location Address
First Line	:	4735 OGLETOWN STANTON RD
Second Line	:	MEDICAL ARTS PAVILION 2, SUITE 2224
City	:	NEWARK
State	:	DE
Zip	:	19713-2072
Country	:	US
Telephone Number	:	302-623-3866
Fax Number	:	302-623-3864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	06/21/2023

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Directions to “ VELMA P SCANTLEBURY MD” Practice Location

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