Candyce J Scherr, PA-C
Individual provider Active NPI Physician Assistant · Parkston, SD
NPI 1982695656 · NPPES record last updated Aug 9, 2012
Key facts
- NPI
- 1982695656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0196 (SD)
- Practice address
- 401 W Glynn Dr
Parkston, SD 57366-9605 - Phone
- (605) 928-3311
- Fax
- (605) 928-7368
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0196 | SD | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0196 | SD | Yes |
Addresses
Primary practice location
401 W Glynn Dr
Parkston, SD 57366-9605
Mailing address
401 W Glynn Dr
Parkston, SD 57366-9605
Phone (605) 928-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4997648 | Medicaid | SD | |
| 4664648 | Other | SD | WELLMARK - LAKE ANDES |
| 4997656 | Other | SD | WELLMARK - TRIPP |
| 9238089 | Other | SD | DAKOTACARE |
| 0007356 | Other | SD | WELLMARK PARKSTON |
| 6821760 | Medicaid | SD | |
| 5340340 | Medicaid | SD |
Other providers in Parkston, SD
- Parkston Rural Ambulance District
- Parkston School District
- Michele L Peitz
- Schylar Powers
- Mary K Schaefer
- Rebecca Schultz
- St Benedict Health Center
- St Benedict Health Center
- St Benedict Health Center
- St Benedict Health Center
All providers in Parkston, SD · Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.