MEDICARE: DR. KATHERINE 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	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	35092159	OH
2	2084P0800X	Psychiatry Physician	48860-020	WI
3	208D00000X	General Practice Physician	48860-020	WI
4	2084P0800X	Psychiatry Physician	35.092159	OH

General Provider Information

NPI Number	:	1457440802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE J SCHMIDT MD

Provider Business Mailing Address
First Line	:	1501 MADISON RD
Second Line	:
City	:	WALNUT HILLS
State	:	OH
Zip	:	45206-1706
Country	:	US
Telephone Number	:	513-354-5200
Fax Number	:	513-354-7115

Provider Business Practice Location Address
First Line	:	1501 MADISON RD
Second Line	:
City	:	WALNUT HILLS
State	:	OH
Zip	:	45206-1706
Country	:	US
Telephone Number	:	513-354-5300
Fax Number	:	513-354-5333

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	04/15/2020

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