Individual
AMANDA DIANNE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 621-4900
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01066984A
IN
207Q00000X
Family Medicine Physician
11014294A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
01066984A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000754853
BCBS BMG E BLAIR WARNER
IN
05
—
201019390
—
IN
Enumeration date
06/02/2008
Last updated
06/04/2025
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