Individual provider Active NPI

Calvin Lee Schierer, DO

  • Family Medicine Physician
  • Castile, NY
National Provider Identifier
1033201959
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
177372 Issued in NY
Practice address
5596 Route 19a
Castile, NY 14427-9757
Phone
(585) 793-9230
Fax
(585) 786-0508
NPI assigned
Sep 28, 2006
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 177372 NY Primary

Addresses

Primary practice location

5596 Route 19a
Castile, NY 14427-9757

Mailing address

9734 Route 19
Houghton, NY 14744-8771
Phone (585) 567-2285

Other practice location 1

9734 Route 19
Houghton, NY 14744-8771
Phone (585) 567-2285

Other identifiers 8

IdentifierTypeStateIssuer
0102767OtherINDEPENDANT HEALTH
P010177372OtherNYBLUE CHOICE
P020177372OtherEXCELLUS
MDH353OtherPREFERRED CARE
00010158802OtherUNIVERA
02168981MedicaidNY
005107171OtherNYBLUE CROSS BLUE SHIELD
2134OtherROCHESTER BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000521 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3375622251 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County Family Medicine PC Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Marfatia Medical PLLC PastSince Sep 27, 2020 Accepting new patients

Locations

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1033201959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9734 ROUTE 19",
            "city": "HOUGHTON",
            "state": "NY",
            "postal_code": "147448771",
            "telephone_number": "585-567-2285",
            "fax_number": "585-567-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5596 ROUTE 19A",
            "city": "CASTILE",
            "state": "NY",
            "postal_code": "144279757",
            "telephone_number": "585-793-9230",
            "fax_number": "585-786-0508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9734 Route 19",
            "address_purpose": "LOCATION",
            "city": "Houghton",
            "state": "NY",
            "postal_code": "147448771",
            "country_code": "US",
            "telephone_number": "585-567-2285",
            "fax_number": "585-567-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIERER",
        "first_name": "CALVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "177372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANT HEALTH",
            "identifier": "0102767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010177372",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P020177372",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010158802",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02168981",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "005107171",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCHESTER BCBS",
            "identifier": "2134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castile, NY

Sources for this page

Verify at the official NPI Registry.