Provider Demographics
NPI:1467430231
Name:SCHERMER, WILLIAM JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
Last Name:SCHERMER
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 1:3183 W STATE ST
Mailing Address - Street 2:SUITE 1102
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1712
Mailing Address - Country:US
Mailing Address - Phone:423-764-7131
Mailing Address - Fax:423-764-7911
Practice Address - Street 1:3183 W STATE ST
Practice Address - Street 2:SUITE 1102
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1712
Practice Address - Country:US
Practice Address - Phone:423-764-7131
Practice Address - Fax:423-764-7911
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000013982207N00000X
VA0101029043207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000000266091OtherANTHEM
TN0004546277OtherAETNA
TN004021789OtherBCBS/TN
TN621868014-01OtherJOHN DEERE
TN62186801437620A001OtherTRICARE
VA005902428Medicaid
TN3373985Medicaid
TN621868014-0001OtherCIGNA
TNB04687Medicare UPIN
VA005902428Medicaid
TN004021789OtherBCBS/TN