Healthcare Provider Details

I. General information

NPI: 1164946950
Provider Name (Legal Business Name): ROBERT S SCHMIDT, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 08/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 WILKES RIDGE PKWY STE 104
RICHMOND VA
23233-7460
US

IV. Provider business mailing address

14241 LEAFIELD DR
MIDLOTHIAN VA
23113-6003
US

V. Phone/Fax

Practice location:
  • Phone: 804-762-0080
  • Fax: 804-762-0081
Mailing address:
  • Phone: 979-774-2053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number0101246722
License Number StateVA

VIII. Authorized Official

Name: DR. ROBERT S SCHMIDT
Title or Position: OWNER
Credential: MD
Phone: 804-762-0080