Provider Demographics
NPI:1922068444
Name:SCHMIDT, ALLEN JAMES JR (MD)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:JAMES
Last Name:SCHMIDT
Suffix:JR
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 1:1501 7TH ST SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601
Mailing Address - Country:US
Mailing Address - Phone:256-350-2210
Mailing Address - Fax:256-350-2735
Practice Address - Street 1:1501 7TH ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601
Practice Address - Country:US
Practice Address - Phone:256-350-2210
Practice Address - Fax:256-350-2735
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.14778207P00000X, 208M00000X
AL14778207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL109579Medicaid
AL109579Medicaid
AL102I113112Medicare PIN
84220Medicare PIN