Provider Demographics
NPI:1811950082
Name:SCHMIDT, EDITH FRANCISCA (MD)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:FRANCISCA
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4230 BURNHAM AVE
Mailing Address - Street 2:ASSOCIATED PATHOLOGISTS, CHARTERED
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119
Mailing Address - Country:US
Mailing Address - Phone:702-733-7866
Mailing Address - Fax:702-792-1319
Practice Address - Street 1:4230 BURNHAM AVE
Practice Address - Street 2:ASSOCIATED PATHOLOGISTS, CHARTERED
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119
Practice Address - Country:US
Practice Address - Phone:702-733-7866
Practice Address - Fax:702-792-1319
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV7778207ZP0102X, 207ZP0213X
DCMD20634207ZP0102X, 207ZP0213X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2002250KMedicaid
G40478Medicare UPIN
NV2002250KMedicaid
NVP00377262Medicare PIN