Provider Demographics
NPI:1962533661
Name:WILLIAM J. SCHERMER PLLC
Entity type:Organization
Organization Name:WILLIAM J. SCHERMER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHERMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-764-7131
Mailing Address - Street 1:3183 W STATE ST
Mailing Address - Street 2:SUITE 1102
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-1712
Mailing Address - Country:US
Mailing Address - Phone:423-764-7131
Mailing Address - Fax:423-764-7911
Practice Address - Street 1:3183 W STATE ST
Practice Address - Street 2:SUITE 1102
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-1712
Practice Address - Country:US
Practice Address - Phone:423-764-7131
Practice Address - Fax:423-764-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3373985Medicaid
TNDG6912OtherRAILROAD MEDICARE - PALMETTOGBA
TN3373985Medicare ID - Type UnspecifiedCIGNA MEDICARE