Individual
DR. PHYLLIS I SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8415 SPRING MILL CT, INDIANAPOLIS, IN 46260-2335
(317) 255-7044
Mailing address
8415 SPRING MILL CT, INDIANAPOLIS, IN 46260-2335
(317) 255-7044
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01021568
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201672
ANTHEM #
IN
05
—
200074750
—
IN
05
—
200346250
—
IN
01
—
5553113
AETNA #
IN
01
—
P00927199
RAILROAD MEDICARE
IN
Enumeration date
09/06/2005
Last updated
07/20/2011
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