Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 350 | NE |
N | 207Q00000X | Family Doctor | 350 | NE |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 350 | NE |
NPI | 1609889336 |
---|---|
Provider Name | Scott E Schmidt |
First Address | Lincoln, NE 68526-6700 |
Second Address | Lincoln, NE 68526-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 25/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01547 | BCBS (01) | NE |
098935 | (02) | NE |
10026721200 | (05) | NE |
10026721201 | (05) | NE |
280071 | (02) | NE |
G46141 | (02) | NE |
NA3283002 | MEDICARE PTAN (01) | NE |