Healthcare Provider Details

I. General information

NPI: 1619905916
Provider Name (Legal Business Name): ANTHONY L SCHMIDT SR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N CAUSEWAY BLVD STE 300
MANDEVILLE LA
70448-4664
US

IV. Provider business mailing address

PO BOX 3109
JACKSON MS
39207-3109
US

V. Phone/Fax

Practice location:
  • Phone: 813-860-4969
  • Fax: 888-371-7962
Mailing address:
  • Phone: 813-860-4969
  • Fax: 888-371-7962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number15953
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number042-0016854
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME125595
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD207455
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD.37466
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number036.147410
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: