MEDICARE: DR. GERALD D SCHEIMBERG DPM

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	213E00000X	Podiatrist	0103000322	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	3923930001	OTHER	VA	MEDICARE DME NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0811F	OTHER	NC	NC BLUE SHIELD NUMBER
2	257907	OTHER	VA	ANTHEM BLUE SHIELD NUMBER
3	311366	OTHER	VA	MAMSI NUMBER
4	25156	OTHER	VA	OPTIMA NUMBER
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639175334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD D SCHEIMBERG DPM

Provider Business Mailing Address
First Line	:	707 GITTINGS ST
Second Line	:	STE 140
City	:	SUFFOLK
State	:	VA
Zip	:	23434-6101
Country	:	US
Telephone Number	:	757-934-0768
Fax Number	:	757-925-1901

Provider Business Practice Location Address
First Line	:	707 GITTINGS ST
Second Line	:	STE 140
City	:	SUFFOLK
State	:	VA
Zip	:	23434-6101
Country	:	US
Telephone Number	:	757-934-0768
Fax Number	:	757-925-1901

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/09/2007

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Directions to “ DR. GERALD D SCHEIMBERG DPM” Practice Location

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