Traci D Schmidt is a Pediatrics in Ponderay, Idaho. Traci D Schmidt practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Traci D Schmidt is 1689763674. The last update date is 2023-06-13.
Traci D Schmidt's current location address is 110 Tibbetts Dr, Ponderay, Idaho. You can contact this provider via phone number 2082557337 and fax number 2085619705. The mailing address for Traci D Schmidt is 110 Tibbetts Dr, Ponderay, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci D Schmidt |
|---|---|
| Address | 110 Tibbetts Dr, Ponderay, Idaho |
| Phone Number | 2082557337 |
| Fax Number | 2085619705 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1689763674 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2023-06-13 |
Provider Mailing Address Detail
| Address | 110 Tibbetts Dr |
|---|---|
| City | Ponderay |
| State | Idaho (ID) |
| Post Code | 838529812 |
| Phone Number | 2082557337 |
| Fax Number | 2085619705 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10137720 | ID | BLUE SHIELD | |
| 7122757 | WA | -- | |
| 806157500 | ID | -- | |
| T7374 | ID | BLUE CROSS | |
| 3400170 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Traci D Schmidt by the Centers for Medicare & Medicaid Services?
The Traci D Schmidt has been issued the NPI (National Provider Identifier) 1689763674, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Traci D Schmidt?
The Traci D Schmidt is situated at 110 Tibbetts Dr, in the city of Ponderay, state of ID, with the zip code 838529812.
What is Traci D Schmidt's area of expertise and its corresponding taxonomy classification?
The Traci D Schmidt's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1689763674 to Traci D Schmidt?
The Traci D Schmidt received its 1689763674 assignment from the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the Traci D Schmidt's information last updated?
The Traci D Schmidt's information was last updated on 2023-06-13.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA