Provider Demographics
NPI:1861441321
Name:SCHMITT, TERRI S (DPM)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:S
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2478 PATTERSON RD
Mailing Address - Street 2:#1
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1266
Mailing Address - Country:US
Mailing Address - Phone:970-245-3338
Mailing Address - Fax:970-245-9499
Practice Address - Street 1:627 25 1/2 RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-6401
Practice Address - Country:US
Practice Address - Phone:970-242-3535
Practice Address - Fax:970-255-6670
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO462213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1861441321OtherRAILROAD MEDICARE
COP00040020OtherRAILROAD MEDICARE
CO1720207863OtherNPIGROUP
CO1861441321OtherNPI
CO01004621Medicaid
COU43263Medicare UPIN
CO1861441321OtherNPI
COC504358Medicare ID - Type Unspecified