Provider Demographics
NPI:1043766199
Name:ALLEN J. SCHMIDT JR. M.D. P.C.
Entity Type:Organization
Organization Name:ALLEN J. SCHMIDT JR. M.D. P.C.
Other - Org Name:INTERNAL MEDICINE PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-350-2210
Mailing Address - Street 1:1501 7TH STREET SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601
Mailing Address - Country:US
Mailing Address - Phone:256-350-6182
Mailing Address - Fax:256-350-6184
Practice Address - Street 1:1501 7TH ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601
Practice Address - Country:US
Practice Address - Phone:256-350-6182
Practice Address - Fax:256-350-6184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLEN J. SCHMIDT JR. M.D. P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-29
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X
AL1073810173000000X
AL1066697363LA2100X
AL14778173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty