Provider Demographics
NPI:1366418105
Name:SCHELER, CARL ELMER (MD)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:ELMER
Last Name:SCHELER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 FELDARELLI SQUARE
Mailing Address - Street 2:FREEPORT ROAD
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068
Mailing Address - Country:US
Mailing Address - Phone:724-339-1707
Mailing Address - Fax:724-337-8918
Practice Address - Street 1:4 FELDARELLI SQUARE
Practice Address - Street 2:FREEPORT ROAD
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068
Practice Address - Country:US
Practice Address - Phone:724-339-1707
Practice Address - Fax:724-337-8918
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022937E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007925010001Medicaid
PA067821Medicare ID - Type Unspecified
PA0007925010001Medicaid