Provider Demographics
NPI:1649303470
Name:CALVIN L SCHIERER DO PC
Entity type:Organization
Organization Name:CALVIN L SCHIERER DO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHIERER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:585-567-2285
Mailing Address - Street 1:9734 ROUTE 19
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:NY
Mailing Address - Zip Code:14744-8771
Mailing Address - Country:US
Mailing Address - Phone:585-567-2285
Mailing Address - Fax:585-567-2202
Practice Address - Street 1:9734 ROUTE 19
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:NY
Practice Address - Zip Code:14744-8771
Practice Address - Country:US
Practice Address - Phone:585-567-2285
Practice Address - Fax:585-567-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177372207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02168981Medicaid
0102767OtherINDEPENDENT HEALTH
2134OtherROCHESTER BCBS
MDH353OtherPREFERRED CARE
00010158802OtherUNIVERA
MDH353OtherPREFERRED CARE
0102767OtherINDEPENDENT HEALTH