Healthcare Provider Details

I. General information

NPI: 1801822556
Provider Name (Legal Business Name): PATRICK W SCHMITT DO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 JEFFERSON ST NE
ALBUQUERQUE NM
87109-4313
US

IV. Provider business mailing address

PO BOX 94360
ALBUQUERQUE NM
87199-4360
US

V. Phone/Fax

Practice location:
  • Phone: 505-344-9478
  • Fax:
Mailing address:
  • Phone: 505-344-9478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA-104695
License Number StateNM

VIII. Authorized Official

Name: DR. PATRICK W SCHMITT
Title or Position: OWNER
Credential: DO
Phone: 505-344-9478