Provider Demographics
NPI:1265492656
Name:SCHARER, SCOTT ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ANDREW
Last Name:SCHARER
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:PO BOX 44004
Mailing Address - Street 2:CREDENTIALING DEPARTMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4004
Mailing Address - Country:US
Mailing Address - Phone:904-202-1032
Mailing Address - Fax:904-396-9700
Practice Address - Street 1:836 PRUDENTIAL DR STE 1601
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8343
Practice Address - Country:US
Practice Address - Phone:904-396-8060
Practice Address - Fax:904-396-9700
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90519207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00997934OtherRAILROAD MEDICARE
FL273491500Medicaid
FLU6149YMedicare PIN
FLI43513Medicare UPIN
FL273491500Medicaid
FL7022721OtherAETNA NUMBER
FL273491500Medicaid
FLU6149ZMedicare PIN
FLU6149YMedicare PIN