Mark D Schmidt, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35054254S Issued in OH

Practice address

8780 Red Lion 5 Points Rd
Springboro, OH 45066-9606

Phone

(937) 321-4958

Fax

(937) 866-8494

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Samaritan Emergency Corp

  • Emergency Medicine Physician
  • Dayton, OH
  • NPI 1922084136
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1760469837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 RED LION FIVE POINTS RD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669606",
            "telephone_number": "937-951-0998",
            "fax_number": "937-567-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 RED LION 5 POINTS RD",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669606",
            "telephone_number": "937-321-4958",
            "fax_number": "937-866-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35054254S",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35054254S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647858",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana L Roberts
• E Clarke Roberts, PA
• Ronald Pedalino DO LLC
• Michael J Ruff, MD
• Carol Ann Sarver
• Michael P Schonsheck, PHARMD
• Kathleen L Schrein, RDLD
• Cory B Sellers, D.D.S.,M.S.D
• Settlers Walk Internal Medicine, LLC
• Steven L Sherer, CDCA

• Emergency Medicine Physician in Springboro, OH
• Providers in Springboro, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.