Organization Active NPI

Jeffrey C. Schmidlein, MD

  • Internal Medicine Physician
  • Severna Park, MD
National Provider Identifier
1770719114
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D30741 Issued in MD
Legal business name
JEFFREY C. SCHMIDLEIN, MD
Practice address
844 Ritchie Hwy
Suite 206
Severna Park, MD 21146-4127
Phone
(410) 647-8829
Fax
(410) 315-8444
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Cynthia K Smith
Title
Medical Office Manager
Phone
(410) 647-4025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D30741 MD Primary

Addresses

Primary practice location

844 Ritchie Hwy
Suite 206
Severna Park, MD 21146-4127

Mailing address

844 Ritchie Hwy
Suite 206
Severna Park, MD 21146-4127
Phone (410) 647-8829

Other identifiers 1

IdentifierTypeStateIssuer
486781500MedicaidMD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0214044Faith Hackett MD/Jeffrey Schmidlein MD844 Ritchie Highway Suite 206, Severna Park, MD 21146Certificate of waiverFeb 3, 2028

National Provider Directory

National Provider Directory

Locations

844 Ritchie Hwy
Ste 206
Severna Park, MD 21146
Phone (410) 647-8300

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": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1770719114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "SUITE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464127",
            "telephone_number": "410-647-8829",
            "fax_number": "410-315-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 RITCHIE HWY",
            "address_2": "SUITE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464127",
            "telephone_number": "410-647-8829",
            "fax_number": "410-315-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. SCHMIDLEIN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "410-647-4025"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D30741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486781500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.