Provider Demographics
NPI:1740470558
Name:DARON L. SCHERR M.D. P. A.
Entity type:Organization
Organization Name:DARON L. SCHERR M.D. P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHERR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-523-7667
Mailing Address - Street 1:2900 VALENCIA DR
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-7594
Mailing Address - Country:US
Mailing Address - Phone:208-523-7667
Mailing Address - Fax:208-523-7668
Practice Address - Street 1:2900 VALENCIA DR
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-7594
Practice Address - Country:US
Practice Address - Phone:208-523-7667
Practice Address - Fax:208-523-7668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-7579174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID8M994OtherBLUE CROSS
ID1368280Medicare PIN