Healthcare Provider Details

I. General information

NPI: 1558189878
Provider Name (Legal Business Name): CAMERON HARRISON SCHMIT PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 GULL RD
KALAMAZOO MI
49048-1640
US

IV. Provider business mailing address

1521 GULL RD
KALAMAZOO MI
49048-1640
US

V. Phone/Fax

Practice location:
  • Phone: 269-226-7000
  • Fax:
Mailing address:
  • Phone: 269-226-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601014229
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: