Organization Active NPI

Castile Community Medical Center

  • Family Medicine Physician
  • Castile, NY
National Provider Identifier
1093936932
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
177372 Issued in NY
Legal business name
CASTILE COMMUNITY MEDICAL CENTER
Practice address
5596 Route 19a
Castile, NY 14427-0505
Phone
(585) 493-2587
Fax
(585) 493-5580
NPI assigned
May 1, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Calvin C Schierer, DO
Title
President
Phone
(585) 493-0505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0022201 NY
Family Medicine Physician 207Q00000X 177372 NY Primary

Addresses

Primary practice location

5596 Route 19a
Castile, NY 14427-0505

Mailing address

5596 Route 19a
Castile Community Medical Center
Castile, NY 14427-0505
Phone (585) 493-2587

Other identifiers 8

IdentifierTypeStateIssuer
P020177372OtherNYEXCELLUS BCBS
0102974OtherIPA
01139986MedicaidNY
9512044OtherINDEPENDENT HEALTH
00010158803OtherUNIVERA
P010177372OtherNYBLUE CHOICE
000560354003OtherCOMMUNITY BLUE
MDH353OtherPREFERRED CARE

National Provider Directory

National Provider Directory

Locations

5596 Route 19A
Castile, NY 14427
Phone (585) 493-2587

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1093936932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5596 ROUTE 19A",
            "address_2": "CASTILE COMMUNITY MEDICAL CENTER",
            "city": "CASTILE",
            "state": "NY",
            "postal_code": "144270505",
            "telephone_number": "585-493-2587",
            "fax_number": "585-493-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5596 ROUTE 19A",
            "city": "CASTILE",
            "state": "NY",
            "postal_code": "144270505",
            "telephone_number": "585-493-2587",
            "fax_number": "585-493-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILE COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHIERER",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-493-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "0022201",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "177372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "P020177372",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IPA",
            "identifier": "0102974",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01139986",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010158803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010177372",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000560354003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castile, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.