Provider Demographics
NPI:1770577371
Name:SCHMID, CATHERINE A (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:SCHMID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 MEDICAL ARTS CT
Mailing Address - Street 2:SUITE #1
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-3869
Mailing Address - Country:US
Mailing Address - Phone:334-371-4400
Mailing Address - Fax:334-371-4402
Practice Address - Street 1:44 MEDICAL ARTS CT
Practice Address - Street 2:SUITE #1
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-3869
Practice Address - Country:US
Practice Address - Phone:334-371-4400
Practice Address - Fax:334-371-4402
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26923174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHG30061Medicare UPIN