Provider Demographics
NPI:1922024140
Name:SCHUERER, DOUGLAS J (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:J
Last Name:SCHUERER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8109-43-1160
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-747-2829
Mailing Address - Fax:314-362-5743
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:DIV SURG ACCS
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-362-5298
Practice Address - Fax:314-362-5743
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2021-11-15
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2002015296208600000X, 2086S0127X, 2086S0102X, 2086S0102X
IL0361467762086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205874704Medicaid
ILENROLLEDMedicaid
MO915220174Medicare PIN
MO111010181Medicare PIN
MO915220174Medicaid