Healthcare Provider Details

I. General information

NPI: 1972839082
Provider Name (Legal Business Name): RON SCHEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2009
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 JEFFERSON AVE
SCRANTON PA
18510-1635
US

IV. Provider business mailing address

4555 EMERSON ST
JACKSONVILLE FL
32207-4966
US

V. Phone/Fax

Practice location:
  • Phone: 570-344-9457
  • Fax: 570-343-3731
Mailing address:
  • Phone: 904-633-0797
  • Fax: 904-633-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMFC1804
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD451134
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier100427500
Identifier TypeMEDICAID
Identifier StateFL
Identifier IssuerFlorida Medicaid Provider ID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: