Healthcare Provider Details
I. General information
NPI: 1922090604
Provider Name (Legal Business Name): GUY R SCHMIDT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/18/2005
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2702 8TH AVE N
BILLINGS MT
59101-1107
US
IV. Provider business mailing address
PO BOX 35100
BILLINGS MT
59107-5100
US
V. Phone/Fax
- Phone: 406-238-2500
- Fax:
- Phone: 406-238-2500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 10683 |
| License Number State | MT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | MED-PHYS-LIC-10683 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: