Provider Demographics
NPI:1194743542
Name:SCHMITZ, CATHY M (CRNA)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:M
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:M
Other - Last Name:HOCKADTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:600 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-4112
Mailing Address - Country:US
Mailing Address - Phone:701-221-2299
Mailing Address - Fax:701-221-3239
Practice Address - Street 1:600 N 9TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4112
Practice Address - Country:US
Practice Address - Phone:701-221-2299
Practice Address - Fax:701-221-3239
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR23298367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND430055903OtherRAILROAD MEDICARE
ND3950OtherBCBS
ND10864Medicaid
SD5490260Medicaid
ND430055903OtherRAILROAD MEDICARE