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NPI Code Detail

MEDICARE: MICHAEL J. SCHMIDT MD

MEDICARE: MICHAEL J. SCHMIDT 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
1174400000XSpecialistN8431AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11720037OTHERARUNITED HEALTHCARE
25J267OTHERARBLUE CROSS BLUE SHIELD
34095825OTHERARAETNA

General Provider Information

NPI Number : 1720081607
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL J. SCHMIDT MD
Provider Business Mailing Address
First Line : 5 MEDICAL PARK PLACE
Second Line : STE 308
City : BENTON
State : AR
Zip : 72015-3745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 MEDICAL PARK PLACE
Second Line : STE 308
City : BENTON
State : AR
Zip : 72015-3745
Country : US
Telephone Number : 501-315-7808
Fax Number : 501-315-4888
Authorized Official
Title or Position : INSURANCE CONSULTANT
Name : MRS. SANDY MEE
Credential :
Telephone Number : 501-315-7808
Provider Enumeration Date : 05/24/2005
Last Update Date : 10/15/2007

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