Provider Demographics
NPI:1679574354
Name:SCHMIDT, HARLOW D (MD)
Entity Type:Individual
Prefix:DR
First Name:HARLOW
Middle Name:D
Last Name:SCHMIDT
Suffix:
Gender:M
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:PO BOX 411039
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1039
Mailing Address - Country:US
Mailing Address - Phone:913-234-1350
Mailing Address - Fax:
Practice Address - Street 1:12300 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1324
Practice Address - Country:US
Practice Address - Phone:913-317-7485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-29664207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100421680CMedicaid
MO206039307Medicaid
P00196647OtherRR MEDICARE GROUP DC6712
KS100421680DMedicaid
01674018OtherBCBS KC MO GROUP 01674018
930118677OtherRR MEDICARE GROUP CG8899
KS34927015OtherBCBS KCMO
MO34927025OtherBCBS OF KC MO
MO206039307Medicaid
KS100421680CMedicaid
KSR97B759Medicare PIN