Provider Demographics
NPI:1164946950
Name:ROBERT S SCHMIDT, MD PLLC
Entity Type:Organization
Organization Name:ROBERT S SCHMIDT, MD PLLC
Other - Org Name:WEST END FACIAL PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-762-0080
Mailing Address - Street 1:14241 LEAFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6003
Mailing Address - Country:US
Mailing Address - Phone:979-774-2053
Mailing Address - Fax:
Practice Address - Street 1:1630 WILKES RIDGE PKWY STE 104
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-7460
Practice Address - Country:US
Practice Address - Phone:804-762-0080
Practice Address - Fax:804-762-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246722207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1477754885OtherNPI
TX12263573OtherCAQH
VA0101246722OtherLICENSE