Active NPI
Milan C Schmidt, MD
- Family Medicine Physician
- Grand Marais, MN
National Provider Identifier
1023056256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25206
- Practice address
- 513 5TH Ave W
Grand Marais, MN 55604-3017 - Phone
- (218) 387-2330
- Fax
- (218) 387-1278
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25206 | MN | Primary |
Addresses
Primary practice location
513 5TH Ave W
Grand Marais, MN 55604-3017
Mailing address
513 5TH Ave W
Grand Marais, MN 55604-3017
Phone (218) 387-2330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 536253900 | Medicaid | MN | |
| 69144CO | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1023056256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 5TH AVE W",
"city": "GRAND MARAIS",
"state": "MN",
"postal_code": "556043017",
"telephone_number": "218-387-2330",
"fax_number": "218-387-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 5TH AVE W",
"city": "GRAND MARAIS",
"state": "MN",
"postal_code": "556043017",
"telephone_number": "218-387-2330",
"fax_number": "218-387-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "MILAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "25206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "536253900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "69144CO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Marais, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.