NPI Code Details Logo

NPI 1558337717

NPI 1558337717 : GREGORY L SCHMIDT MD : MADISON, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558337717
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GREGORY L SCHMIDT MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/27/2006
-----------------------------------------------------
    Last Update Date     |    03/10/2009
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    600 HIGHLAND AVE 
-----------------------------------------------------
    City                 |    MADISON
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53792
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    608-265-8130
-----------------------------------------------------
    Fax                  |    608-263-7263
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7974 UW HEALTH CT 
-----------------------------------------------------
    City                 |    MIDDLETON
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53562-5531
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    21837
-----------------------------------------------------
    License Number State |    WI
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.