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Individual

WILLIAM R SCHMIDT II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
30839
KY
207RI0011X
Interventional Cardiology Physician
Primary
30839
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000044899
ANTHEM PIN
KY
01
000000693046
ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
000057080Q
HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
1056154
PASSPORT PIN
KY
05
200083820A
IN
05
200083820F
IN
01
2433845000
PASSPORT ADVANTAGE PIN
KY
01
50031167
PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
05
64308398
KY
01
P00889593
RAILROAD MEDICARE
KY
Enumeration date
07/06/2006
Last updated
01/21/2021
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