Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 107985 | MO |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 65234 | CO |
NPI | 1447248455 |
---|---|
Provider Name | Dr. Gary J Schmidt |
First Address | Saint Louis, MO 63141-7052 |
Second Address | Englewood, CO 80113-2766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 09/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5547670001 | DMERC (01) | MO |