Individual provider Active NPI

Anthony L Schmidt Sr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Mandeville, LA
National Provider Identifier
1619905916
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME125595 Issued in FL
Practice address
800 N Causeway Blvd Ste 300
Mandeville, LA 70448-4664
Phone
(813) 860-4969
Fax
(888) 371-7962
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 042-0016854 VT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME125595 FL Primary
Hematology (Pathology) Physician 207ZH0000X 15953 MS
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD207455 LA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.37466 AL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036.147410 IL

Addresses

Primary practice location

800 N Causeway Blvd Ste 300
Mandeville, LA 70448-4664

Mailing address

PO Box 3109
Jackson, MS 39207-3109
Phone (813) 860-4969

Other practice location 1

555 Heritage Dr Ste 114
Jupiter, FL 33458-5286
Phone (601) 918-0669

Other practice location 2

1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709
Phone (813) 860-4969

Other identifiers 1

IdentifierTypeStateIssuer
0119947MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA, VT3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040130000422 MS Practitioner - Pathology 2163325382
I20190114002317 LA Practitioner - Pathology 2163325382 Reassigns benefits to 1 organization
I20230510000522 VT Practitioner - Pathology 2163325382 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15953MSMDHematology (Pathology) Physician
MD.37466ALMDAnatomic Pathology & Clinical Pathology Physician
ME125595FLMDAnatomic Pathology & Clinical Pathology Physician
036.147410ILMDAnatomic Pathology & Clinical Pathology Physician
MD207455LAMDAnatomic Pathology & Clinical Pathology Physician
042-0016854VTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heme Diagnostic Specialists LLC Hematology CurrentSince Mar 17, 2024 Accepting new patients
University of Vermont Medical Center Inc Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
Dianexus Medical Laboratories LLC Hematology CurrentSince Jan 10, 2021 Accepting new patients
Mississippi Baptist Medical Center, Inc. Past Accepting new patients
Cancer Cell Diagnostics Inc PastSince Apr 15, 2024 Accepting new patients

Locations

555 Heritage Dr
Ste 114
Jupiter, FL 33458
Phone (561) 284-6377

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

800 N Causeway Blvd
Ste 300
Mandeville, LA 70448
Phone (813) 860-4969

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Organizations & group practices 6

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1619905916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3109",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392073109",
            "telephone_number": "813-860-4969",
            "fax_number": "888-371-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CAUSEWAY BLVD STE 300",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484664",
            "telephone_number": "813-860-4969",
            "fax_number": "888-371-7962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Heritage Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334585286",
            "country_code": "US",
            "telephone_number": "601-918-0669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Westbrook Corporate Ctr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545709",
            "country_code": "US",
            "telephone_number": "813-860-4969",
            "fax_number": "888-371-7962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VT",
            "license": "042-0016854",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME125595",
            "primary": true
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "MS",
            "license": "15953",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD207455",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "MD.37466",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.147410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119947",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.