Individual provider Active NPI

Elizabeth Hanson Schmidt, PA-C

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1467600627
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000415A Issued in IN
Practice address
12360 Creekwood LN
Carmel, IN 46032-8287
Phone
(317) 844-0852
Fax
(317) 844-0852
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000415A IN Primary

Addresses

Primary practice location

12360 Creekwood LN
Carmel, IN 46032-8287

Mailing address

12360 Creekwood LN
Carmel, IN 46032-8287
Phone (317) 844-0852

Other names 1

  • Miss Elizabeth Anne Hanson Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000415AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Assistant Surgical Services, Inc PastSince Feb 26, 2003 Accepting new patients
Jeffrey R Ginther MD PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1467600627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 CREEKWOOD LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328287",
            "telephone_number": "317-844-0852",
            "fax_number": "317-844-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 CREEKWOOD LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328287",
            "telephone_number": "317-844-0852",
            "fax_number": "317-844-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ELIZABETH",
        "middle_name": "HANSON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000415A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HANSON",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.