Provider Demographics
NPI:1366475196
Name:SCHMITT, THOMAS E (M D)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10521 ROSEHAVEN ST
Mailing Address - Street 2:LL 100
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2837
Mailing Address - Country:US
Mailing Address - Phone:703-281-5007
Mailing Address - Fax:703-281-3491
Practice Address - Street 1:10521 ROSEHAVEN ST
Practice Address - Street 2:LL 100
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2837
Practice Address - Country:US
Practice Address - Phone:703-281-5007
Practice Address - Fax:703-281-3491
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101025976207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAV006209858Medicaid
VAV006209858Medicaid