Provider Demographics
NPI:1841267267
Name:SCHMITT, CHRISTINE THOROGOOD (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:THOROGOOD
Last Name:SCHMITT
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:PO BOX 44008
Mailing Address - Street 2:PROVIDER ENROLLMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:904-244-3660
Mailing Address - Fax:904-244-3425
Practice Address - Street 1:841 PRUDENTIAL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8329
Practice Address - Country:US
Practice Address - Phone:904-633-0920
Practice Address - Fax:904-633-0921
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231976208000000X, 208100000X
FLME1110212081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003113460AMedicaid
VA49525OtherSENTARA OPTIMA
FL004066400Medicaid
NC064X6OtherNC BC/BS
VA287395OtherANTHEM
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL/CORCARE
VAPAROtherAETNA
297092OtherUHC/MAMSI
VAPAROtherVIRGINIA HEALTH NETWORK
FL14H4ROtherBCBSFL
VA-017OtherTRICARE/CHAMPUS
VA006802621Medicaid
10007085OtherSENTARA/OPTIMA
VAPAROtherCIGNA
NC89064X6Medicaid
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherVIRGINIA PREMIER HEALTH
VA250000299Medicare PIN
FLFL187ZMedicare PIN
VAPAROtherUSA MANAGED CARE
FL14H4ROtherBCBSFL
10007085OtherSENTARA/OPTIMA