Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 36428 | IA |
N | 111NI0900X | Internist | 36428 | IA |
Y | 207RC0200X | Critical Care Medicine | 36428 | IA |
N | 207RP1001X | Pulmonary Disease | 36428 | IA |
NPI | 1073582102 |
---|---|
Provider Name | Gregory A Schmidt |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 18/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0481051 | (05) | IA |
06078 | WELLMARK (01) | IA |
E18537 | (02) |