Provider Demographics
NPI: | 1457440802 |
---|---|
Name: | SCHMIDT, KATHERINE J (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | KATHERINE |
Middle Name: | J |
Last Name: | SCHMIDT |
Suffix: | |
Gender: | F |
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: | 1501 MADISON RD |
Mailing Address - Street 2: | |
Mailing Address - City: | WALNUT HILLS |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 45206-1706 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 513-354-5200 |
Mailing Address - Fax: | 513-354-7115 |
Practice Address - Street 1: | 1501 MADISON RD |
Practice Address - Street 2: | |
Practice Address - City: | WALNUT HILLS |
Practice Address - State: | OH |
Practice Address - Zip Code: | 45206-1706 |
Practice Address - Country: | US |
Practice Address - Phone: | 513-354-5300 |
Practice Address - Fax: | 513-354-5333 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-10-12 |
Last Update Date: | 2020-04-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 35092159 | 2084A0401X |
WI | 48860-020 | 2084P0800X, 208D00000X |
OH | 35.092159 | 2084P0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Medicine |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |