Organization Active NPI

Michael J. Schmidt MD

  • Specialist
  • Benton, AR
National Provider Identifier
1720081607
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N8431 Issued in AR
Legal business name
MICHAEL J. SCHMIDT MD
Practice address
5 Medical Park Place
Ste 308
Benton, AR 72015-3745
Phone
(501) 315-7808
Fax
(501) 315-4888
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Mrs. Sandy Mee
Title
Insurance Consultant
Phone
(501) 315-7808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X N8431 AR Primary

Addresses

Primary practice location

5 Medical Park Place
Ste 308
Benton, AR 72015-3745

Mailing address

5 Medical Park Place
Ste 308
Benton, AR 72015-3745

Other identifiers 3

IdentifierTypeStateIssuer
1720037OtherARUNITED HEALTHCARE
5J267OtherARBLUE CROSS BLUE SHIELD
4095825OtherARAETNA

National Provider Directory

National Provider Directory
Tax ID family
Michael J Schmidt Facs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 Medical Park Dr
Ste 308
Benton, AR 72015
Phone (501) 315-7808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1720081607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK PLACE",
            "address_2": "STE 308",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK PLACE",
            "address_2": "STE 308",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153745",
            "telephone_number": "501-315-7808",
            "fax_number": "501-315-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. SCHMIDT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "MEE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "INSURANCE CONSULTANT",
        "authorized_official_telephone_number": "501-315-7808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "N8431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1720037",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5J267",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4095825",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.