Donald J. Schmidt, D.C. Inc.
Organization Active NPI Chiropractor · Ottawa, OH
NPI 1124329172 · NPPES record last updated Nov 8, 2010
Key facts
- NPI
- 1124329172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2067 (OH)
- Legal business name
- DONALD J. SCHMIDT, D.C. INC.
- Practice address
- 139 S. Walnut St.
Ottawa, OH 45875 - Phone
- (419) 523-5737
- Fax
- (419) 523-3839
- NPI assigned
- Nov 8, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Donald Joe Schmidt, D.C.
- Title
- President
- Phone
- (419) 523-5737
Practitioners 1
-
Donald Joe Schmidt, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101110001407 | OH | Part B Supplier - Clinic/Group Practice | 0941495311 |
Receives reassigned benefits from 1 practitioner Practice locations: Ottawa, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2067 | OH | Yes |
Addresses
Primary practice location
139 S. Walnut St.
Ottawa, OH 45875
Mailing address
139 S. Walnut St.
Ottawa, OH 45875
Phone (419) 523-5737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0956345 | Medicaid | OH |
Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.