Active NPI
Peter D Schmidt, M.D.
- Family Medicine Physician
- Iron Mountain, MI
National Provider Identifier
1669574505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301109195
- Practice address
- 440 Woodward Ave
Iron Mountain, MI 49801-4631 - Phone
- (906) 776-9040
- Fax
- (906) 774-5950
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301109195 | MI | Primary |
Addresses
Primary practice location
440 Woodward Ave
Iron Mountain, MI 49801-4631
Mailing address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7226
Other practice location 1
10334 N Citrus Springs Blvd
Citrus Springs, FL 34434-3217
Phone (352) 527-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669574505 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301109195 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osler Medical Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1356308670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669574505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WOODWARD AVE",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014631",
"telephone_number": "906-776-9040",
"fax_number": "906-774-5950"
}
],
"practiceLocations": [
{
"address_1": "10334 N Citrus Springs Blvd",
"address_purpose": "LOCATION",
"city": "Citrus Springs",
"state": "FL",
"postal_code": "344343217",
"country_code": "US",
"telephone_number": "352-527-0707",
"fax_number": "352-489-7512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIDT",
"first_name": "PETER",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301109195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669574505",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.