Organization Active NPI

Mary E. Schmieder DO. Facep, Inc

  • Emergency Medicine Physician
  • Orange Park, FL
National Provider Identifier
1396829347
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MARY E. SCHMIEDER DO. FACEP, INC
Practice address
1543 Kingsley Ave
Orange Park, FL 32073-4535
Phone
(904) 278-2246
NPI assigned
Oct 25, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Mary E Schmieder, D.O.NPI 1598739641
Title
Doctor
Phone
(904) 278-2246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary
Pain Medicine Physician 208VP0000X OS0004991 FL

Addresses

Primary practice location

1543 Kingsley Ave
Orange Park, FL 32073-4535

Mailing address

PO Box 14379
Jacksonville, FL 32238-1379
Phone (904) 278-2246

Other identifiers 1

IdentifierTypeStateIssuer
1598739641OtherFLINDIV NPI

National Provider Directory

National Provider Directory

Locations

1543 Kingsley Ave
Orange Park, FL 32073
Phone (904) 269-9777

1543 Kingsley Ave
Ste 16
Orange Park, FL 32073
Phone (904) 278-2246

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1396829347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14379",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322381379",
            "telephone_number": "904-278-2246",
            "fax_number": "904-278-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734535",
            "telephone_number": "904-278-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E. SCHMIEDER DO. FACEP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "SCHMIEDER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-278-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS0004991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1598739641",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.