James Robert Schmidgall, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD10496 Issued in OR

Practice address

1585 3Rd St
Fort Polk, LA 71459-5102

Phone

(541) 602-3399

NPI assigned

May 16, 2006

Sex

Male

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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roseburg Radiologists P C

  • Diagnostic Radiology Physician
  • Roseburg, OR
  • NPI 1700876117
  NPD (past)
• Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
  • NPI 1245237486
  NPD (past)
• Salem Imaging LLC

  • Diagnostic Radiology Physician
  • Salem, OR
  • NPI 1114978418
  NPD (past)
• Salem Radiology Consultants PC

  • Diagnostic Radiology Physician
  • Salem, OR
  • NPI 1649221813
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841242153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "541-602-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDGALL",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD10496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109595",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Theresa Rudat, AUD
• Kathleen Ryan, APN
• Charles Satterfield
• Maggie Schad, AUD
• Kiara Gloria Yeatman Schien, DO
• Paul Joseph Schonbrun, D.O.
• Deborah Scott
• Holly Seager, RD
• Willie Tregg Shelton, MPAS, PA-C
• Patricia Shepard, LICSW

• Diagnostic Radiology Physician in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.