MARK J SCHMIDT (NPI# 1780793927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780793927 |
| Entity Type | Individual |
| Full Name | MARK J SCHMIDT |
| Credential | M.D. |
| Practice Address |
2855 Campus Dr Suite# 400 Plymouth MN 55441-2649 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7635777400 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0222477 | MN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RR MEDICARE | 110042052 | 01 |
| MN | 514890100 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | XX1920197003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760895130 | Mark Schmidt | Psychologist | 6308 Ferncreek Ln, Fort Worth, TX 76179-4701 | 2014-06-03 |
| 1447510276 | Mark Schmidt | Veterinarian | 18011 Old Bayshore Rd, North Fort Myers, FL 33917-5825 | 2012-05-27 |
| 1598772758 | Mark C Schmidt | Dentist | 1156 Springfield St, Feeding Hills, MA 01030-2113 | 2006-08-01 |
| 1760469837 | Mark D Schmidt | Emergency Medicine | 8780 Red Lion 5 Points Rd, Springboro, OH 45066-9606 | 2005-12-29 |
| 1700172020 | Mark Edward Schmidt | Anesthesiology | 202 S Park St, 4 Tower, Madison, WI 53715-1507 | 2011-06-24 |
| 1346356557 | Mark Allan Schmidt | Psychologist | 200 University Blvd, Bryce Hospital, Tuscaloosa, AL 35401-1250 | 2006-08-21 |
| 1306877501 | Mark Schmidt | Physical Therapist | 17000 Kapalama Rd., Suite, Pass Christian, MS 39571 | 2006-07-05 |
| 1245281161 | Mark E Schmidt | Optometrist | 111 Hazel Ln, Suite 102, Sewickley, PA 15143-1253 | 2006-05-15 |
| 1487640637 | Mark Everett Schmidt | Optometrist | 460 Rona Pkwy, Brookville, OH 45309-1118 | 2005-09-23 |
| 1023000684 | Mark A Schmidt | Specialist | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2005-08-19 |
| Street Address |
2855 CAMPUS DR SUITE# 400 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171820 | Terry W. Hood | Neurological Surgery | 2855 Campus Dr, Ste 570, Plymouth, MN 55441-2660 | 2005-06-01 |
| 1891309092 | Bridget Pauline Williams | Pharmacist | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2020-09-04 |
| 1093277238 | Megan Hickenbottom | Social Worker | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2019-04-05 |
| 1831670470 | Stephanie Michelle Walek | Pharmacist | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2018-08-22 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1457741092 | Narges Golgol | Physician Assistant | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2015-02-04 |
| 1295131357 | Eva Gabriela Martinez | Physical Therapist | 2855 Campus Dr, Suite 650, Plymouth, MN 55441-2649 | 2014-11-17 |
| 1336495068 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2012-07-31 |
| 1477828515 | Vedavathi Ramesh Bellamkonda-athmaram | Pediatrics | 2855 Campus Dr, #350, Plymouth, MN 55441-2649 | 2012-03-21 |
| 1568739043 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2011-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1194977447 | Lokeh Plastic Surgery Pa | Specialist | 15535 34th Ave N # 100, Plymouth, MN 55447-1481 | 2008-10-17 |
| 1346402310 | Paul S Richelson | Specialist | 7 Town West Rd, Plymouth, NH 03264-3428 | 2008-06-30 |
| 1679753305 | Jeffrey Zorn | Specialist | 47 White Trellis, Plymouth, MA 02360-7789 | 2007-11-09 |
| 1841488541 | Tenney Mountain Internal Medicine | Specialist | 251 Mayhew Tpke, Plymouth, NH 03264-3026 | 2007-10-09 |
| 1982899688 | Family Home Physicians LLC | Specialist | 801 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-1694 | 2007-09-06 |
| 1134320203 | Alan R. Murphy, M.d.,p.c. | Specialist | 17 Muirfield Rd, Plymouth, MA 02360 | 2007-05-29 |
| 1669598454 | Susan Christie Krupin-carter | Specialist | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2007-03-22 |
| 1487787016 | Northstar Radiology Corporation Pa | Specialist | 36 Nathan Lane N, Plymouth, MN 55441 | 2007-03-13 |
| 1568599207 | Elsa Boayes Horn | Specialist | W9071 Forest Drive, Plymouth, WI 53073-0031 | 2007-02-28 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.