Active NPI
John Elmer Schmitt Jr., MD
- Otolaryngology Physician
- Cloquet, MN
National Provider Identifier
1235151895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 45382
- Practice address
- Community Memorial Hospital
512 Skyline Blvd
Cloquet, MN 55720-1199 - Phone
- (218) 879-4641
- NPI assigned
- Jul 24, 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 9186 | ND | |
| Otolaryngology Physician | 207Y00000X | 35044002 | OH | |
| Otolaryngology Physician | 207Y00000X | 45382 | MN | Primary |
Addresses
Primary practice location
Community Memorial Hospital
512 Skyline Blvd
Cloquet, MN 55720-1199
Mailing address
Community Memorial Hospital
512 Skyline Blvd
Cloquet, MN 55720-1199
Phone (218) 879-4641
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hisdept@direct.cloquethospital.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120514000079 | MN | Practitioner - Otolaryngology | 5092750562 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45382 | MN | MD | Otolaryngology Physician |
| 9186 | ND | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Services of Coshocton, Inc | Past | Accepting new patients | |
| Alluma, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crookston, MN
- NPI 1508835133
-
- Internal Medicine Physician
- Dresden, OH
- NPI 1407889785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1235151895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMMUNITY MEMORIAL HOSPITAL",
"address_2": "512 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201199",
"telephone_number": "218-879-4641",
"fax_number": "320-763-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMUNITY MEMORIAL HOSPITAL",
"address_2": "512 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201199",
"telephone_number": "218-879-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITT",
"first_name": "JOHN",
"middle_name": "ELMER",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ND",
"license": "9186",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35044002",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "45382",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hisdept@direct.cloquethospital.com",
"affiliation": "N",
"address_1": "Community Memorial Hospital",
"address_2": "512 Skyline Blvd",
"city": "Cloquet",
"state": "MN",
"country_code": "US",
"postal_code": "557201199",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.