John Joseph Schmidt, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

26193 Issued in CO

Practice address

509 W 17TH St
Pueblo, CO 81003-2622

Phone

(719) 543-2211

Fax

(719) 584-4779

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1306846746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W 17TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032622",
            "telephone_number": "719-543-2211",
            "fax_number": "719-584-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W 17TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032622",
            "telephone_number": "719-543-2211",
            "fax_number": "719-584-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "26193",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "26193",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "26193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01261932",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailee Schindler
• Sandra Alice Schleich, LPCC
• Maggie Schleifer, RN
• Stanley Schleifer
• Donald A Schlomer, M.D.
• Hannah Marie Schmitt, FNP-C
• Deborah Lonn Schmuckal, LCSW
• Josey Schnaufer, PA-C
• Charles E Schneider, DPM
• Alison JL Schoenfeld, MS, CCC-SLP

• Dermatology Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.

Verify at the official NPI Registry.