Healthcare Provider Details

I. General information

NPI: 1740594696
Provider Name (Legal Business Name): SCHMITT FAMILY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 BLUEGRASS LN
HAMBLETON WV
26269-8123
US

IV. Provider business mailing address

PO BOX 25
THOMAS WV
26292-0025
US

V. Phone/Fax

Practice location:
  • Phone: 304-478-2600
  • Fax: 304-478-2604
Mailing address:
  • Phone: 304-614-5899
  • Fax: 304-918-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number2229-9974
License Number StateWV

VIII. Authorized Official

Name: DR. SUSAN ANN SCHMITT
Title or Position: OWNER
Credential: MD
Phone: 304-614-5899