Provider Demographics
NPI:1417007519
Name:SCHMIEG, JOHN JOSEPH III (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:SCHMIEG
Suffix:III
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1422 OCTAVIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-4227
Mailing Address - Country:US
Mailing Address - Phone:646-413-0079
Mailing Address - Fax:504-988-2420
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:SL79
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5224
Practice Address - Fax:504-988-2420
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.204851207ZP0102X
PAMD438660207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology