Active NPI
Mary Elizabeth Schmieder, DO, FACEP,INC
- Emergency Medicine Physician
- Orange Park, FL
National Provider Identifier
1598739641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS0004991
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OS0004991 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Avenue Dermatology PA | Past | 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.
-
- Emergency Medicine Physician
- Orange Park, FL
- NPI 1396829347
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1912195108
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1386693273
-
- Dermatology Physician
- Orange Park, FL
- NPI 1205871001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.