Individual
DR. EDWARD B. SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST FL 1, CHARLOTTESVILLE, VA 22908-1029
(434) 924-9400
(434) 243-6999
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101051681
VA
2085R0202X
Diagnostic Radiology Physician
35.123144
OH
2085R0202X
Diagnostic Radiology Physician
4301076457
MI
2085R0202X
Diagnostic Radiology Physician
MD044643E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076674
—
OH
01
—
0D46002
BCBS GROUP PIN
MI
01
—
0F36125
BCBS GROUP PIN
MI
05
—
1026746170001
—
PA
05
—
1477509644
—
VA
01
—
2682676
HIGHMARK BCBS
PA
05
—
32624500
—
MI
05
—
4979643
—
MI
01
—
CA3518
MEDICARE RR GROUP PIN
MI
Enumeration date
05/26/2006
Last updated
02/08/2018
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