Organization
STEPHEN A. SCHMIDT MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A SCHMIDT MD (PRESIDENT)
(618) 277-0475
Entity
Organization
Contact information
Practice address
300 W LINCOLN ST, BELLEVILLE, IL 62220-1987
(618) 277-0475
Mailing address
300 W. LINCOLN, STE 402, BELLEVILLE, IL 62220
(618) 277-0475
(618) 277-0593
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036-065962
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065962
—
IL
01
—
100008034
MEDICARE RAILROAD
—
01
—
101342
HEALTHLINK
—
01
—
10687
ESSE
IL
01
—
1452539
UMWA - FUNDS
—
01
—
200951721
MUTUAL OF OMAHA
—
01
—
29-07321
UNITED HEALTH CARE
—
01
—
3067456 001
CIGNA PAL
IL
01
—
34684
GROUP HEALTH PLAN
IL
01
—
4000960
AETNA
—
01
—
4060
SOUTHER IL HEALTH CARE
—
01
—
8006472240
MERCY
—
01
—
8200489
BLUE CROSS/BLUE SHIELD
IL
01
—
P40682181
BCE EMERGIS
—
Enumeration date
09/14/2006
Last updated
02/26/2013
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