Provider Demographics
NPI:1558541706
Name:PIKE SURGICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:PIKE SURGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:SCHLOEMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-566-8700
Mailing Address - Street 1:PO BOX 988
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-0988
Mailing Address - Country:US
Mailing Address - Phone:334-566-8700
Mailing Address - Fax:334-566-3225
Practice Address - Street 1:101 PECAN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3171
Practice Address - Country:US
Practice Address - Phone:334-566-8700
Practice Address - Fax:334-566-3225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15011174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALB43034Medicare UPIN