Provider Demographics
NPI:1861411498
Name:SCHMIDT, JANET S (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:SCHMIDT
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 1:1095 S GILPIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4522
Mailing Address - Country:US
Mailing Address - Phone:303-722-8152
Mailing Address - Fax:303-744-8173
Practice Address - Street 1:1095 S GILPIN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4522
Practice Address - Country:US
Practice Address - Phone:303-722-8152
Practice Address - Fax:303-744-8173
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27848207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01278480Medicaid
CO01278480Medicaid
COD16063Medicare UPIN