Provider Demographics
NPI:1467415406
Name:SCHMIDT, JAMES EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:300 S 8TH ST
Mailing Address - Street 2:STE 182W
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2444
Mailing Address - Country:US
Mailing Address - Phone:719-776-8600
Mailing Address - Fax:719-634-1448
Practice Address - Street 1:630 W MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-2171
Practice Address - Country:US
Practice Address - Phone:937-283-9888
Practice Address - Fax:937-283-9892
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0033870207RC0000X, 207RI0011X
KY34563207RI0011X
OH35.051361207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0710190Medicaid
COA17207Medicare UPIN