MEDICARE: RICHARD A SCHMITT 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	207P00000X	Emergency Medicine Physician	13459	SC
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	0101256957	VA

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487653291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD A SCHMITT M.D.

Provider Business Mailing Address
First Line	:	125 LEEDS
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-9184
Country	:	US
Telephone Number	:	843-333-7125
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 SENTARA CIR
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5713
Country	:	US
Telephone Number	:	757-984-7111
Fax Number	:

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	01/31/2020

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