Individual provider Active NPI

Mary Elizabeth Schmieder, DO, FACEP,INC

  • Emergency Medicine Physician
  • Orange Park, FL
National Provider Identifier
1598739641
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS0004991 Issued in FL
Practice address
1543 Kingsley Ave
Building 16
Orange Park, FL 32073-4535
Phone
(904) 278-2246
Fax
(904) 278-2247
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS0004991 FL Primary

Addresses

Primary practice location

1543 Kingsley Ave
Building 16
Orange Park, FL 32073-4535

Mailing address

1543 Kingsley Ave
Building 16
Orange Park, FL 32073-4535
Phone (904) 278-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0004991FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Dermatology PA PastSince Jan 1, 2006 Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Belfort Emergency Physicians Emergency Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1598739641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE",
            "address_2": "BUILDING 16",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734535",
            "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",
            "address_2": "BUILDING 16",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734535",
            "telephone_number": "904-278-2246",
            "fax_number": "904-278-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIEDER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "DO, FACEP,INC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0004991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.