Provider Demographics
NPI:1568651438
Name:ALAN J. SCHARRER MD INC.
Entity Type:Organization
Organization Name:ALAN J. SCHARRER MD INC.
Other - Org Name:GRAIN VALLEY FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHARRER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-847-2390
Mailing Address - Street 1:1454 SW EAGLES PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAIN VALLEY
Mailing Address - State:MO
Mailing Address - Zip Code:64029-8508
Mailing Address - Country:US
Mailing Address - Phone:816-847-2390
Mailing Address - Fax:816-847-2392
Practice Address - Street 1:1454 SW EAGLES PKWY
Practice Address - Street 2:
Practice Address - City:GRAIN VALLEY
Practice Address - State:MO
Practice Address - Zip Code:64029-8508
Practice Address - Country:US
Practice Address - Phone:816-847-2390
Practice Address - Fax:816-847-2392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO106682261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
S810000Medicare PIN