Provider Demographics
NPI:1851360754
Name:SCHEIRER, ROBERT D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:SCHEIRER
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:PO BOX 1377
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31534-1377
Mailing Address - Country:US
Mailing Address - Phone:912-384-5832
Mailing Address - Fax:912-383-8279
Practice Address - Street 1:100 DOCTORS DR
Practice Address - Street 2:STE C
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2210
Practice Address - Country:US
Practice Address - Phone:912-384-5832
Practice Address - Fax:912-383-8279
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA034708174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00465979AMedicaid
GA202I028466OtherGA MEDICARE
SC120988Medicaid
GA000465979FMedicaid
GAD02066Medicare UPIN
GA02BDCHVMedicare ID - Type UnspecifiedGEORGIA MEDICARE NUMBER
GA000465979FMedicaid