MEDICARE: TODD SCHMIDGALL DPM

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	213E00000X	Podiatrist	36-00-3213	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	O00206189	OTHER	OH	MEDICARE RAILROAD OH

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881825628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TODD SCHMIDGALL DPM

Provider Business Mailing Address
First Line	:	1548 ADDINGHAM PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-1712
Country	:	US
Telephone Number	:	513-421-5160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1548 ADDINGHAM PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-1712
Country	:	US
Telephone Number	:	513-421-5160
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST
Name	:	TODD SCHMIDGALL
Credential	:	DPM
Telephone Number	:	513-421-5160

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	11/13/2010

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