Provider Demographics
NPI:1962681262
Name:SCHMIDT, MELISSA KAY (DO)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:KAY
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:45-030 SPRINGER PL
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3029
Mailing Address - Country:US
Mailing Address - Phone:319-721-7936
Mailing Address - Fax:
Practice Address - Street 1:13001 PUNCHBOWL STREET
Practice Address - Street 2:QUEENS MEDICAL CENTER
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-0000
Practice Address - Country:US
Practice Address - Phone:808-691-4311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3866207P00000X
HIDOS 1531207P00000X
KS05-33905207P00000X
GA66783207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine