Individual provider Active NPI

Tracy Warren Schermer, M.D.

  • Adolescent Medicine (Family Medicine) Physician
  • Mount Vernon, OH
National Provider Identifier
1669543484
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
35-04-4001-S Issued in OH
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

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8006866108MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000306 OH Practitioner - General PracticePractitioner - Other (Physician) 5395838312 Reassigns benefits to 1 organization
Practice locations: Mount Vernon, OH

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Jul 22, 2014 Accepting new patients
Mount Vernon Developmental Center CurrentSince Jul 22, 2014 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.

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

Verify at the official NPI Registry.