Elisabeth Joan Schmalstieg, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

E1120 Issued in TX

Practice address

6417 Memorial Dr
Texas City, TX 77591-4017

Phone

(409) 938-1077

Fax

(409) 938-3876

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1699885459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914017",
            "telephone_number": "409-938-1077",
            "fax_number": "409-938-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 MEMORIAL DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775914017",
            "telephone_number": "409-938-1077",
            "fax_number": "409-938-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALSTIEG",
        "first_name": "ELISABETH",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "E1120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCA PROVIDER #",
            "identifier": "051003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "H32J",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1278947",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Texas City, TX
• Providers in Texas City, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.