Provider Demographics
NPI:1194811620
Name:SCHMIDT, WILLIAM (PA-C, MPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:SCHMIDT
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Gender:M
Credentials:PA-C, MPH
Other - Prefix:
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Mailing Address - Street 1:6850 HILLTOP ROAD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226
Mailing Address - Country:US
Mailing Address - Phone:913-248-8008
Mailing Address - Fax:913-248-8668
Practice Address - Street 1:6850 HILLTOP ROAD
Practice Address - Street 2:SUITE 170
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226
Practice Address - Country:US
Practice Address - Phone:913-248-8008
Practice Address - Fax:913-248-8668
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS15-00768363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant