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NPI Code Detail

MEDICARE: PATRICIA ANN SCHMAEDEKE MD

MEDICARE: PATRICIA ANN SCHMAEDEKE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME93255FL
2207Q00000XFamily Medicine PhysicianMD2024-1018NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417929688
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN SCHMAEDEKE MD
Provider Business Mailing Address
First Line : 800 BRADBURY DR SE STE 116
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-4310
Country : US
Telephone Number : 505-272-1476
Fax Number :
Provider Business Practice Location Address
First Line : 1033 N PARKWAY FRONTAGE RD
Second Line :
City : LAKELAND
State : FL
Zip : 33803-0401
Country : US
Telephone Number : 863-647-4047
Fax Number : 866-264-8519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 01/21/2025

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Directions to “ PATRICIA ANN SCHMAEDEKE MD” Practice Location

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