MEDICARE: MEIC H SCHMIDT 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	207T00000X	Neurological Surgery Physician	285851	NY
2	207T00000X	Neurological Surgery Physician	5126992-1205	UT
3	207T00000X	Neurological Surgery Physician	MD2019-0806	NM
4	207T00000X	Neurological Surgery Physician	MD27467	ME

General Provider Information

NPI Number	:	1740365436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEIC H SCHMIDT M.D.

Provider Business Mailing Address
First Line	:	92 CAMPUS DR STE A
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-7229
Country	:	US
Telephone Number	:	207-885-0011
Fax Number	:

Provider Business Practice Location Address
First Line	:	92 CAMPUS DR STE A
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-7229
Country	:	US
Telephone Number	:	207-885-0011
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	06/06/2024

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