Provider Demographics
NPI:1013031103
Name:MICHAEL J. SCHERMER, M.D. INC.
Entity Type:Organization
Organization Name:MICHAEL J. SCHERMER, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN. ASST
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-453-1111
Mailing Address - Street 1:2620 HURLEY WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-3789
Mailing Address - Country:US
Mailing Address - Phone:916-453-1111
Mailing Address - Fax:916-483-4506
Practice Address - Street 1:2620 HURLEY WAY
Practice Address - Street 2:SUITE A
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-3789
Practice Address - Country:US
Practice Address - Phone:916-453-1111
Practice Address - Fax:916-483-4506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC34149332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ28152ZMedicare ID - Type UnspecifiedGROUP NUMBER
CA1037860001Medicare NSC
CAA33518Medicare UPIN