Basic Information
Provider Information
NPI: 1548262579
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMIDT
FirstName: CHRISTOPHER
MiddleName: CHARLES
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9104 BABCOCK BOULEVARD
Address2: SUITE 5113
City: PITTSBURGH
State: PA
PostalCode: 15237
CountryCode: US
TelephoneNumber: 4127487412
FaxNumber: 4127487452
Practice Location
Address1: 9104 BABCOCK BLVD
Address2: SUITE 5113
City: PITTSBURGH
State: PA
PostalCode: 152375818
CountryCode: US
TelephoneNumber: 8774710935
FaxNumber: 4127487452
Other Information
ProviderEnumerationDate: 08/10/2005
LastUpdateDate: 02/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD051945LPAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0106XMD051945LPAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery

ID Information
IDTypeStateIssuerDescription
001467660001105PA MEDICAID
001467660001205PA MEDICAID
001467660000505PA MEDICAID
097993705OH MEDICAID
001467660001005PA MEDICAID
001467660000405PA MEDICAID
001467660000805PA MEDICAID


Home