Provider Demographics
NPI:1861426157
Name:SCHMIDT, DENNIS W (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:W
Last Name:SCHMIDT
Suffix:
Gender:M
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 100
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75461-0100
Mailing Address - Country:US
Mailing Address - Phone:903-783-1282
Mailing Address - Fax:903-783-1251
Practice Address - Street 1:3015 NE LOOP 286
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460
Practice Address - Country:US
Practice Address - Phone:903-785-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF44892085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101467215Medicaid
OK100159900AMedicaid
TX101467204Medicaid
TX101467205Medicaid
AR159059001Medicaid
101467203OtherAMERIGROUP
TX101467203Medicaid
TX101467206Medicaid
TX101467211Medicaid
TX101467211Medicaid
TX101467204Medicaid
TX8F0875Medicare ID - Type Unspecified
TX101467205Medicaid
TXB163460Medicare PIN
TX84018RMedicare ID - Type Unspecified
300138018Medicare ID - Type UnspecifiedRAILROAD
TX101467206Medicaid
300127494Medicare ID - Type UnspecifiedRAILROAD
AR159059001Medicaid