Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101251802 | VA |
N | 208600000X | Surgeon | 0101251802 | VA |
N | 208200000X | Surgeon | 16429 | HI |
N | 208600000X | Surgeon | 16429 | HI |
N | 208200000X | Surgeon | A120073 | CA |
N | 208600000X | Surgeon | A120073 | CA |
Y | 208200000X | Surgeon | MD447239 | PA |
Y | 208600000X | Surgeon | MD447239 | PA |
N | 2086S0102X | Surgical Critical Care | EMC0000698 | MI |
N | 2086S0102X | Surgical Critical Care | TEMPORARY | SC |
NPI | 1013171800 |
---|---|
Provider Name | Dr. Keilla Amorim Schmidt |
First Address | Monroeville, PA 15146-3513 |
Second Address | Monroeville, PA 15146-3513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2008 |
Last Update Date | 30/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1027643850001 | (05) | PA |