Healthcare Provider Details

I. General information

NPI: 1073512224
Provider Name (Legal Business Name): SUSAN ANN SCHMITT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
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: 304-614-5899
  • Fax: 304-918-0185
Mailing address:
  • Phone: 304-614-5899
  • Fax: 304-918-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number11004
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11004
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: