Provider Demographics
NPI:1740510189
Name:DONALD A. SCHMIDT M.D,P.C.
Entity type:Organization
Organization Name:DONALD A. SCHMIDT M.D,P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-570-7061
Mailing Address - Street 1:9844 S 1300 E
Mailing Address - Street 2:#275
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094-4673
Mailing Address - Country:US
Mailing Address - Phone:801-571-7061
Mailing Address - Fax:801-571-9277
Practice Address - Street 1:9844 S 1300 E
Practice Address - Street 2:#275
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-4673
Practice Address - Country:US
Practice Address - Phone:801-571-7061
Practice Address - Fax:801-571-9277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT0663610018207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT528700180002Medicaid
UT5604290001Medicare NSC
UTC45461Medicare UPIN
UT528700180002Medicaid