Individual
SARA I SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4880 CENTURY PLAZA RD, SUITE 265, INDIANAPOLIS, IN 46254-5469
(317) 216-2700
(317) 216-2555
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027858
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100330360
—
IN
Enumeration date
06/09/2006
Last updated
02/27/2014
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