MEDICARE: DONALD J SCHMIDT MD

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	207R00000X	Internal Medicine Physician	20785	NE

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
2	10287	OTHER		MIDLANDS CHOICE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	76-00117	OTHER	NE	UHC
7	00789	OTHER	NE	BCBS

General Provider Information

NPI Number	:	1205845617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD J SCHMIDT MD

Provider Business Mailing Address
First Line	:	770 N COTNER BLVD
Second Line	:	SUITE 220
City	:	LINCOLN
State	:	NE
Zip	:	68505-2310
Country	:	US
Telephone Number	:	402-441-3400
Fax Number	:	402-441-3425

Provider Business Practice Location Address
First Line	:	770 N COTNER BLVD
Second Line	:	SUITE 220
City	:	LINCOLN
State	:	NE
Zip	:	68505-2310
Country	:	US
Telephone Number	:	402-441-3400
Fax Number	:	402-441-3425

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	06/22/2009

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Directions to “ DONALD J SCHMIDT MD” Practice Location

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