Active NPI
Tracy Warren Schermer, M.D.
- Adolescent Medicine (Family Medicine) Physician
- Mount Vernon, OH
National Provider Identifier
1669543484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- 35-04-4001-S
- Practice address
- 1250 Vernonview Dr
Mount Vernon, OH 43050-1447 - Phone
- (740) 393-6200
- Fax
- (740) 393-6423
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 35-04-4001-S | OH | Primary |
Addresses
Primary practice location
1250 Vernonview Dr
Mount Vernon, OH 43050-1447
Mailing address
20398 New Gambier Rd
Gambier, OH 43022-9654
Phone (740) 427-3298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8006866108 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| Mount Vernon Developmental Center | Current | Accepting new patients | |
| Knox Community Hospital | Past | Accepting new patients | |
| Knox Community Hospital | Past | Accepting new patients |
Locations
1601 W Broad St
Columbus, OH 43222
Phone (614) 272-0509
30 E Broad St
Rm 1301
Columbus, OH 43215
30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930
1250 Vernonview Dr
Mount Vernon, OH 43050
Phone (740) 393-6200
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Cincinnati, OH
- NPI 1023082716
-
- Intellectual Disabilities Intermediate Care Facility
- Mount Vernon, OH
- NPI 1992869069
-
- Nursing Facility/Intermediate Care Facility
- Sandusky, OH
- NPI 1790732576
-
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1073351557
-
- Family Medicine Physician
- Mount Vernon, OH
- NPI 1154483022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1669543484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20398 NEW GAMBIER RD",
"city": "GAMBIER",
"state": "OH",
"postal_code": "430229654",
"telephone_number": "740-427-3298",
"fax_number": "740-233-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 VERNONVIEW DR",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501447",
"telephone_number": "740-393-6200",
"fax_number": "740-393-6423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERMER",
"first_name": "TRACY",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "OH",
"license": "35-04-4001-S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8006866108",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.