Provider Demographics
NPI:1225308943
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:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD PC
Authorized Official - Phone:256-350-2210
Mailing Address - Street 1:1501 7TH ST SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3378
Mailing Address - Country:US
Mailing Address - Phone:256-350-2210
Mailing Address - Fax:256-350-2735
Practice Address - Street 1:1501 7TH ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3378
Practice Address - Country:US
Practice Address - Phone:256-350-2210
Practice Address - Fax:256-350-2735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14778207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE14411Medicare UPIN