Provider Demographics
NPI:1811080336
Name:SCHARRUHN & BARLEY PROFESSIONAL MEDICAL CORP
Entity type:Organization
Organization Name:SCHARRUHN & BARLEY PROFESSIONAL MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHARINA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:SCHARRUHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-626-8003
Mailing Address - Street 1:1004 FOWLER WAY
Mailing Address - Street 2:SUITE #1
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-5746
Mailing Address - Country:US
Mailing Address - Phone:530-626-8003
Mailing Address - Fax:530-626-8082
Practice Address - Street 1:1004 FOWLER WAY
Practice Address - Street 2:SUITE #1
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-5746
Practice Address - Country:US
Practice Address - Phone:530-626-8003
Practice Address - Fax:530-626-8082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ23232ZOtherMEDICARE PTAN