Active NPI
John Frederick Scheerer MD PC
- Primary Care Clinic/Center
- Ann Arbor, MI
National Provider Identifier
1790930907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 4301051152
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2731336 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1811987803
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.