Organization Active NPI

John Frederick Scheerer MD PC

  • Primary Care Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1790930907
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301051152 Issued in MI
Legal business name
JOHN FREDERICK SCHEERER MD PC
Practice address
2190 S State St
Ann Arbor, MI 48104-6106
Phone
(734) 971-7070
Fax
(734) 971-7168
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. John Frederick Scheerer, M.D.NPI 1811987803
Title
President
Phone
(734) 971-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301051152 MI Primary

Addresses

Primary practice location

2190 S State St
Ann Arbor, MI 48104-6106

Mailing address

2190 S State St
Ann Arbor, MI 48104-6106
Phone (734) 971-7070

Other identifiers 1

IdentifierTypeStateIssuer
2731336MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081203000310 MI Part B Supplier - Clinic/Group Practice 6507927068 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

2190 S State St
Ann Arbor, MI 48104
Phone (734) 730-2265

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1790930907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046106",
            "telephone_number": "734-971-7070",
            "fax_number": "734-971-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046106",
            "telephone_number": "734-971-7070",
            "fax_number": "734-971-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN FREDERICK SCHEERER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "SCHEERER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-971-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301051152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2731336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.