Provider Demographics
NPI:1235136193
Name:SCHMIDT, ROBERT HENRY (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:HENRY
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5724 CLYMER RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-3266
Mailing Address - Country:US
Mailing Address - Phone:215-536-1890
Mailing Address - Fax:215-529-9034
Practice Address - Street 1:5724 CLYMER RD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-3266
Practice Address - Country:US
Practice Address - Phone:215-536-1890
Practice Address - Fax:215-529-9034
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005979L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA500041Medicare ID - Type Unspecified
PAC34686Medicare UPIN