Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 28387 | WV |
N | 208600000X | Surgeon | 28387 | WV |
Y | 2086X0206X | Surgical Oncologist | 28387 | WV |
N | 2086X0206X | Surgical Oncologist | 35092132 | OH |
NPI | 1386802460 |
---|---|
Provider Name | Dr. Carl Richard Schmidt |
First Address | Morgantown, WV 26506-1200 |
Second Address | Columbus, OH 43221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 06/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2902229 | (05) | OH |