MEDICARE: DR. BARRY MICHAEL SCHIMMER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	MD012979E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396716122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY MICHAEL SCHIMMER M.D.

Provider Business Mailing Address
First Line	:	822 PINE ST
Second Line	:	SUITE 3A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6187
Country	:	US
Telephone Number	:	215-829-5358
Fax Number	:	215-923-6442

Provider Business Practice Location Address
First Line	:	822 PINE ST
Second Line	:	SUITE 3A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6187
Country	:	US
Telephone Number	:	215-829-5358
Fax Number	:	215-923-6442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	01/04/2017

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