Provider Demographics
NPI:1831378538
Name:CHRISTOPHER W SCHMIDT DO PC
Entity type:Organization
Organization Name:CHRISTOPHER W SCHMIDT DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-355-1900
Mailing Address - Street 1:1729 KINNEYS LANE
Mailing Address - Street 2:SUITE-103
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-3166
Mailing Address - Country:US
Mailing Address - Phone:740-355-1900
Mailing Address - Fax:740-355-1909
Practice Address - Street 1:1729 KINNEYS LANE
Practice Address - Street 2:SUITE 103
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-3166
Practice Address - Country:US
Practice Address - Phone:740-355-1900
Practice Address - Fax:740-355-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2428984Medicaid
OH2428984Medicaid
F50884Medicare UPIN