Provider Demographics
NPI:1144260779
Name:SCARCELLA, JAMES V (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:V
Last Name:SCARCELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 COLUMBIA RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1493
Mailing Address - Country:US
Mailing Address - Phone:440-808-8030
Mailing Address - Fax:440-808-8032
Practice Address - Street 1:850 COLUMBIA RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1493
Practice Address - Country:US
Practice Address - Phone:440-808-8030
Practice Address - Fax:440-808-8032
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35027107208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0042608Medicaid
OH7332981Medicare PIN
A71046Medicare UPIN
OH0042608Medicaid