Active NPI
Stephen R Schmitz, MD
- Family Medicine Physician
- Hudson, WI
National Provider Identifier
1053384503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22268
- Practice address
- 403 Stageline Rd
Hudson, WI 54016-7899 - Phone
- (715) 531-6800
- Fax
- (715) 531-6801
- NPI assigned
- Feb 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22268 | WI | Primary |
| Family Medicine Physician | 207Q00000X | 27083 | MN | |
| Family Medicine Physician | 207Q00000X | 01028683A | IN |
Addresses
Primary practice location
403 Stageline Rd
Hudson, WI 54016-7899
Mailing address
403 Stageline Rd
Hudson, WI 54016-7899
Phone (715) 531-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30374800 | Medicaid | WI | |
| 001056125 | Other | WI | MEDICARE ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01028683A | IN | MD | Family Medicine Physician |
| 27083 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consulting Radiologists, LTD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Eden Prairie, MN
- NPI 1487730594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1053384503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 STAGELINE RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167899",
"telephone_number": "715-531-6800",
"fax_number": "715-531-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 STAGELINE RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167899",
"telephone_number": "715-531-6800",
"fax_number": "715-531-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITZ",
"first_name": "STEPHEN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "22268",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "27083",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01028683A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30374800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "001056125",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.