MEDICARE: DR. CHRISTINE THOROGOOD SCHMITT 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	208000000X	Pediatrics Physician	0101231976	VA
2	208100000X	Physical Medicine & Rehabilitation Physician	0101231976	VA
3	2081P0010X	Pediatric Rehabilitation Medicine Physician	ME111021	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	49525	OTHER	VA	SENTARA OPTIMA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	064X6	OTHER	NC	NC BC/BS
5	287395	OTHER	VA	ANTHEM
6	PAR	OTHER	VA	USA MANAGED CARE
7	PAR	OTHER	VA	CORVEL/CORCARE
8	PAR	OTHER	VA	AETNA
9	297092	OTHER		UHC/MAMSI
10	PAR	OTHER	VA	VIRGINIA HEALTH NETWORK
11	14H4R	OTHER	FL	BCBSFL
12	-017	OTHER	VA	TRICARE/CHAMPUS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	10007085	OTHER		SENTARA/OPTIMA
15	PAR	OTHER	VA	CIGNA
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	PAR	OTHER	VA	FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
18	PAR	OTHER	VA	VIRGINIA PREMIER HEALTH
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841267267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE THOROGOOD SCHMITT MD

Provider Business Mailing Address
First Line	:	PO BOX 44008
Second Line	:	PROVIDER ENROLLMENT
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4008
Country	:	US
Telephone Number	:	904-244-3660
Fax Number	:	904-244-3425

Provider Business Practice Location Address
First Line	:	841 PRUDENTIAL DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8329
Country	:	US
Telephone Number	:	904-633-0920
Fax Number	:	904-633-0921

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	08/11/2020

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