MEDICARE: PAUL E 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
1	207RC0000X	Cardiovascular Disease Physician	01020513A	IN
2	207R00000X	Internal Medicine Physician	01020513A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060065129	OTHER	IN	RRMC - CARDIOVASCULAR DIAGNOSTIC SERVICES
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801858154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL E SCHMIDT MD

Provider Business Mailing Address
First Line	:	815 SUGARBUSH RDG
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1911
Country	:	US
Telephone Number	:	317-733-8885
Fax Number	:	317-733-8885

Provider Business Practice Location Address
First Line	:	815 SUGARBUSH RDG
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1911
Country	:	US
Telephone Number	:	317-733-8885
Fax Number	:	317-733-8885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	02/10/2012

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Directions to “ PAUL E SCHMIDT MD” Practice Location

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