Provider Demographics
NPI:1548231376
Name:SCHREMMER, TIMOTHY S (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:S
Last Name:SCHREMMER
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 1:1700 S TAMIAMI TRAIL
Mailing Address - Street 2:SARASOTA EMERGENCY ASSOCIATES PA
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-917-8507
Mailing Address - Fax:941-917-8551
Practice Address - Street 1:1700 S TAMIAMI TRAIL
Practice Address - Street 2:SARASOTA EMERGENCY ASSOCIATES PA
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239
Practice Address - Country:US
Practice Address - Phone:941-917-8507
Practice Address - Fax:941-917-8551
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78282207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
46947OtherBLUE CROSS BLUE SHIELD
46947OtherBLUE CROSS BLUE SHIELD
FLP00309403Medicare PIN
FL49947ZMedicare PIN
FL49947XMedicare PIN
FL49947VMedicare PIN