NPIMap

Organization Active NPI

Schmidt Medical Clinic, PA

  • Family Medicine Physician
  • Glen Rose, TX
National Provider Identifier
1558495333
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0075 Issued in TX
Legal business name
SCHMIDT MEDICAL CLINIC, PA
Practice address
1008 N E Big Bend TRL
Glen Rose, TX 76043
Phone
(254) 897-3444
Fax
(254) 897-9973
NPI assigned
Mar 15, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Paul A Schmidt, MDNPI 1073516704
Title
Owner
Phone
(254) 897-3444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G0075 TX Primary

Addresses

Primary practice location

1008 N E Big Bend TRL
Glen Rose, TX 76043

Mailing address

PO Box 2279
Glen Rose, TX 76043-2279
Phone (254) 897-3444

Other identifiers 1

IdentifierTypeStateIssuer
182104302MedicaidTX

National Provider Directory

National Provider Directory

Locations

1008 N E Big BND TRL
Glen Rose, TX 76043
Phone (254) 897-3310

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1558495333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2279",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760432279",
            "telephone_number": "254-897-3444",
            "fax_number": "254-898-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N E BIG BEND TRL",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "76043",
            "telephone_number": "254-897-3444",
            "fax_number": "254-897-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHMIDT MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-897-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182104302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rose, TX

Sources for this page

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