Provider Demographics
NPI:1609806652
Name:SCHMIT, TRICIA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:MARIE
Last Name:SCHMIT
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 1:19102 Q ST STE 102
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-1558
Mailing Address - Country:US
Mailing Address - Phone:402-330-5690
Mailing Address - Fax:402-330-5689
Practice Address - Street 1:19102 Q ST STE 102
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-1558
Practice Address - Country:US
Practice Address - Phone:402-330-5690
Practice Address - Fax:402-330-5689
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27309208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098684434OtherMEDICARE PTAN