Active NPI
Jeffrey C. Schmidlein, MD
- Internal Medicine Physician
- Severna Park, MD
National Provider Identifier
1770719114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D30741
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 486781500 | Medicaid | MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0214044 | Faith Hackett MD/Jeffrey Schmidlein MD | Certificate of waiver | Feb 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Severna Park, MD
- NPI 1962474023
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
- James E. Chappell, M.D., P.a.
- Janey, LLC
- Lori Elaine Janssen, MSW, LCSW
- Jared Mallalieu, PA
- Ayodeji C Jarrett, DDS
- JLJ Medical Limited Liabilty Company, Priority Care Clinics (JLJ Medical LLC, Priority Care Clinics @Severna Park)
- John Burton Driscoll (Bay Area Behavioral Health LLC)
- John E. Myhill, PH.D., P.a.
- Johns Hopkins Regional Physicians LLC (JHRP - 645 Baltimore Annapolis Blvd Ste 105 - Prov Type: 20)
- April Michelle Johnson, MA ATR, LCPC
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.