Provider Demographics
NPI:1679539365
Name:SCHERER, THOMAS ROSS (DO)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:ROSS
Last Name:SCHERER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-0187
Mailing Address - Country:US
Mailing Address - Phone:541-408-2925
Mailing Address - Fax:
Practice Address - Street 1:125 MALL DR STE 213
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5794
Practice Address - Country:US
Practice Address - Phone:541-408-2925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO17797208600000X
CA20A11656208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR047824Medicaid
OR2002690OtherBLUE CROSS
OR115533Medicare ID - Type Unspecified
ORD00266Medicare UPIN
OR2002690OtherBLUE CROSS