Provider Demographics
NPI:1457351397
Name:SCHERMER, ALEXANDER WILLIAM
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:WILLIAM
Last Name:SCHERMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ALEXANDER
Other - Middle Name:W
Other - Last Name:SCHERMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 17752
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-0752
Mailing Address - Country:US
Mailing Address - Phone:303-306-7783
Mailing Address - Fax:303-306-7753
Practice Address - Street 1:1010 THREE SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8296
Practice Address - Country:US
Practice Address - Phone:303-306-7783
Practice Address - Fax:303-306-7753
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5551207P00000X
CO44497207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM95272020Medicaid
CO60221054Medicaid
CO60221054Medicaid
NM95272020Medicaid