Provider Demographics
NPI:1821071895
Name:SCHMITZ, MARCUS P (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:P
Last Name:SCHMITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:155 HOSPITAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2852
Mailing Address - Country:US
Mailing Address - Phone:337-235-7743
Mailing Address - Fax:337-769-0892
Practice Address - Street 1:155 HOSPITAL DR STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2852
Practice Address - Country:US
Practice Address - Phone:337-235-7743
Practice Address - Fax:337-769-0892
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY24648207T00000X
GA073149207T00000X
FLME0062429207T00000X
AL18475207T00000X
NC2017-02195207T00000X
LA322226207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1821071895Medicaid
NC19TXPOtherBCBS OF NC
SCNC3286Medicaid