Provider Demographics
NPI:1740594696
Name:SCHMITT FAMILY MEDICINE PLLC
Entity type:Organization
Organization Name:SCHMITT FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-614-5899
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:THOMAS
Mailing Address - State:WV
Mailing Address - Zip Code:26292-0025
Mailing Address - Country:US
Mailing Address - Phone:304-614-5899
Mailing Address - Fax:304-918-0185
Practice Address - Street 1:152 BLUEGRASS LN
Practice Address - Street 2:
Practice Address - City:HAMBLETON
Practice Address - State:WV
Practice Address - Zip Code:26269-8123
Practice Address - Country:US
Practice Address - Phone:304-478-2600
Practice Address - Fax:304-478-2604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2229-9974261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care