Provider Demographics
NPI:1447221080
Name:ERIC R SCHMIDT MD AND JAYNE A MINIER MD INC
Entity Type:Organization
Organization Name:ERIC R SCHMIDT MD AND JAYNE A MINIER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-668-5222
Mailing Address - Street 1:278 BENEDICT AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2721
Mailing Address - Country:US
Mailing Address - Phone:419-668-5222
Mailing Address - Fax:419-668-5251
Practice Address - Street 1:278 BENEDICT AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2721
Practice Address - Country:US
Practice Address - Phone:419-668-5222
Practice Address - Fax:419-668-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1533149OtherUNITED MINE WORKERS FUND
OH2050266Medicaid
OH124594500OtherFEDERAL WORKERS COMP
OH1533149OtherUNITED MINE WORKERS FUND
OH2050266Medicaid