Provider Demographics
NPI:1619948981
Name:SCHMIDT, MARKUS HELMUT (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARKUS
Middle Name:HELMUT
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4975 BRADENTON AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3521
Mailing Address - Country:US
Mailing Address - Phone:614-766-0773
Mailing Address - Fax:614-766-2599
Practice Address - Street 1:4975 BRADENTON AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3521
Practice Address - Country:US
Practice Address - Phone:614-766-0773
Practice Address - Fax:614-766-2599
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-6433S2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000220105OtherANTHEM
OHSC4109821Medicare ID - Type Unspecified
OH000000220105OtherANTHEM