Provider Demographics
NPI:1598904369
Name:SCHMIDT, MICHAEL JAMES (AUD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6645 MAIN STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-633-0721
Mailing Address - Fax:716-633-5987
Practice Address - Street 1:6645 MAIN STREET
Practice Address - Street 2:SUITE B
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-633-0721
Practice Address - Fax:716-633-5987
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY002247-1231HA2400X, 231HA2500X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter