Healthcare Provider Details

I. General information

NPI: 1982017927
Provider Name (Legal Business Name): JEREMY SCHMITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2014
Last Update Date: 01/16/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 BURKARTH RD STE 201
WARRENSBURG MO
64093-3101
US

IV. Provider business mailing address

407 BURKARTH RD STE 201
WARRENSBURG MO
64093-3101
US

V. Phone/Fax

Practice location:
  • Phone: 660-747-2228
  • Fax: 660-747-7677
Mailing address:
  • Phone: 660-747-2228
  • Fax: 660-747-7677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2024014227
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: