Provider Demographics
NPI:1568415917
Name:SCHMIDT, WILLIAM FREDERICK III (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:SCHMIDT
Suffix:III
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE PT STE 212
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 W FARIS RD FL 2
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4255
Practice Address - Country:US
Practice Address - Phone:864-455-8898
Practice Address - Fax:864-455-5164
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC121712080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC5655208OtherAETNA ID
SC0351211OtherCIGNA ID
SC121718Medicaid
SC576007863054OtherBCBS OF SC ID
SCD77830Medicare UPIN
SCD778303640Medicare PIN
SC5655208OtherAETNA ID