Paul D Schmidt, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.002426 Issued in IL

Practice address

1402 South First Street
Memorial Stadium
Champaign, IL 61820

Phone

(217) 265-8060

Fax

(217) 333-6460

NPI assigned

Mar 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1659331379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 KREBS DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221102",
            "telephone_number": "248-302-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 SOUTH FIRST STREET",
            "address_2": "MEMORIAL STADIUM",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61820",
            "telephone_number": "217-265-8060",
            "fax_number": "217-333-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Schamer, LSW
• Gregory D. Schardt, D.D.S.
• Kathryn L Scheiding, APN
• Gayle Lynne Schlabach, APRN, CNP, DNP
• Kelly Schmidt
• Carrie Schmitt, DO
• Sheila R. Schmitz, A.N.P.
• Samantha Schneider
• Shannon M Schneider, LCPC
• Carole J Schoene, APN

• Athletic Trainer in Champaign, IL
• Providers in Champaign, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.