Provider Demographics
NPI:1275510992
Name:SCHMITT, ROGER HAROLD (MD)
Entity Type:Individual
Prefix:
First Name:ROGER
Middle Name:HAROLD
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 WINDMILL RANCH RD
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-6558
Mailing Address - Country:US
Mailing Address - Phone:760-436-1710
Mailing Address - Fax:
Practice Address - Street 1:624 WINDMILL RANCH RD
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-6558
Practice Address - Country:US
Practice Address - Phone:760-436-1710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG31177207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery