Organization Active NPI

Peter M. Schmid, DO PC LLC

  • Otolaryngology Physician
  • Longmont, CO
National Provider Identifier
1407283542
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
32368 Issued in CO
Legal business name
PETER M. SCHMID, DO PC LLC
Practice address
1305 Sumner St
Suite 100
Longmont, CO 80501-3270
Phone
(303) 651-6770
Fax
(303) 651-6794
NPI assigned
Oct 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Peter Michael Schmid, DONPI 1306885165
Title
Medical Director
Phone
(303) 651-6770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 32368 CO Primary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 32368 CO

Addresses

Primary practice location

1305 Sumner St
Suite 100
Longmont, CO 80501-3270

Mailing address

1305 Sumner St
Suite 100
Longmont, CO 80501-3271
Phone (303) 651-6770

Other identifiers 1

IdentifierTypeStateIssuer
01323682MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131218000504 CO Part B Supplier - Clinic/Group Practice 9133356165 Receives reassigned benefits from 1 practitioner
Practice locations: Longmont, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1094017Peter M Schmid, DO, PC, LLC1305 Sumner St, Ste 100, Longmont, CO 80501Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Locations

1305 Sumner St
Unit 100
Longmont, CO 80501
Phone (303) 651-6770

1610 Dry Creek Dr
Frnt
Longmont, CO 80503

1305 Sumner St
Longmont, CO 80501
Phone (303) 651-6770

1950 Mountain View Ave
#A
Longmont, CO 80501
Phone (303) 651-5111

2030 Mountain View Ave
Longmont, CO 80501
Phone (303) 682-0375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1407283542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SUMNER ST",
            "address_2": "SUITE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013271",
            "telephone_number": "303-651-6770",
            "fax_number": "303-651-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SUMNER ST",
            "address_2": "SUITE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013270",
            "telephone_number": "303-651-6770",
            "fax_number": "303-651-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M. SCHMID, DO PC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-651-6770",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "32368",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "32368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01323682",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.