Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 01037000A | IN |
NPI | 1366544868 |
---|---|
Provider Name | Dr. Rhys Thomas Schmidt III |
First Address | Lebanon, IN 46052-8622 |
Second Address | Indianapolis, IN 46260-1987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2006 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300025596 | (05) | IN |
D47003 | (02) | IN |