MEDICARE: DR. DAVID A SCHMEIDLER 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	207Q00000X	Family Medicine Physician	04-19626	KS

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

General Provider Information

NPI Number	:	1780686089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A SCHMEIDLER M.D.

Provider Business Mailing Address
First Line	:	510 W RADIO LN
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-4011
Country	:	US
Telephone Number	:	620-442-2100
Fax Number	:	620-442-8945

Provider Business Practice Location Address
First Line	:	510 W RADIO LN
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005
Country	:	US
Telephone Number	:	620-442-2100
Fax Number	:	620-442-8945

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	06/15/2018

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