Provider Demographics
NPI:1770516635
Name:SCHMITT, SCOTT A (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4807 ROCKSIDE RD
Mailing Address - Street 2:STE 300
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-6802
Mailing Address - Country:US
Mailing Address - Phone:216-503-9489
Mailing Address - Fax:216-503-9492
Practice Address - Street 1:4807 ROCKSIDE RD
Practice Address - Street 2:STE 300
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-6802
Practice Address - Country:US
Practice Address - Phone:216-503-9489
Practice Address - Fax:216-503-9492
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350739842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3050915Medicaid
OH3050915Medicaid