Provider Demographics
NPI:1477668432
Name:ON CALL MEDICAL SERVICES ASSOC. LLP
Entity Type:Organization
Organization Name:ON CALL MEDICAL SERVICES ASSOC. LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHIMELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-286-3000
Mailing Address - Street 1:76 N GREENBUSH RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-8369
Mailing Address - Country:US
Mailing Address - Phone:518-286-3000
Mailing Address - Fax:518-286-3008
Practice Address - Street 1:76 N GREENBUSH RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-8369
Practice Address - Country:US
Practice Address - Phone:518-286-3000
Practice Address - Fax:518-286-3008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BB0774Medicare UPIN
50055AMedicare PIN