Individual provider Active NPI

Margaret A Schmandt, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1366498065
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R8J63 Issued in MO
Practice address
4488 Forest Park Ave
Ste 230
Saint Louis, MO 63108-2283
Phone
(314) 535-7855
Fax
(314) 534-2803
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R8J63 MO Primary

Addresses

Primary practice location

4488 Forest Park Ave
Ste 230
Saint Louis, MO 63108-2283

Mailing address

PO Box 505430
Saint Louis, MO 63150-5430
Phone (314) 535-7855

Other identifiers 1

IdentifierTypeStateIssuer
204814008MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R8J63MOMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1366498065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505430",
            "telephone_number": "314-535-7855",
            "fax_number": "314-534-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 FOREST PARK AVE",
            "address_2": "STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082283",
            "telephone_number": "314-535-7855",
            "fax_number": "314-534-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMANDT",
        "first_name": "MARGARET",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R8J63",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204814008",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4488 Forest Park Ave",
            "address_2": "STE 230",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.