Active NPI
Craig J Schmidt, M.D.
- Family Medicine Physician
- Pacific, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 107984
- Practice address
- 307 Noonan Dr
Pacific, MO 63069-1118 - Phone
- (636) 271-9100
- Fax
- (636) 257-6016
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 107984 | MO | Primary |
Addresses
Primary practice location
307 Noonan Dr
Pacific, MO 63069-1118
Mailing address
901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 239-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204646608 | Medicaid | MO | |
| 080142757 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107984 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patients First Health Care LLC | Family Medicine | Current | Accepting new patients |
Locations
125 N Old Highway 66
Bourbon, MO 65441
Phone (573) 679-2006
307 Noonan Dr
Pacific, MO 63069
Phone (636) 271-9100
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Washington, MO
- NPI 1962441386
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1871520544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-239-7500",
"fax_number": "636-239-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 NOONAN DR",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630691118",
"telephone_number": "636-271-9100",
"fax_number": "636-257-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "CRAIG",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "107984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204646608",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080142757",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pacific, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.