Provider Demographics
NPI:1093856023
Name:SCHMEDTJE, JOHN F JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:SCHMEDTJE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8337
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-0337
Mailing Address - Country:US
Mailing Address - Phone:540-981-2105
Mailing Address - Fax:540-345-5725
Practice Address - Street 1:201 MCCLANAHAN ST SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1709
Practice Address - Country:US
Practice Address - Phone:540-981-2105
Practice Address - Fax:540-345-5725
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042820207R00000X, 207RM1200X, 207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RM1200XAllopathic & Osteopathic PhysiciansInternal MedicineMagnetic Resonance Imaging (MRI)
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005886821Medicaid
VAB08479Medicare UPIN