Provider Demographics
NPI:1871690180
Name:SCHMIDT, LINDA GESINA (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:GESINA
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5903 RIDGEWOOD RD STE 430
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-3702
Mailing Address - Country:US
Mailing Address - Phone:601-899-3450
Mailing Address - Fax:601-899-3453
Practice Address - Street 1:5903 RIDGEWOOD RD STE 430
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-3702
Practice Address - Country:US
Practice Address - Phone:601-899-3450
Practice Address - Fax:601-899-3453
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS168542080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06088001Medicaid
MSH26161Medicare UPIN
MS030000043Medicare PIN
MS06088001Medicaid
MSP00686554Medicare PIN