Provider Demographics
NPI:1972765808
Name:SCHMIDT, PAUL SCOTT (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:SCOTT
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:5026 WESCOE, MAILSTOP 2026
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-3402
Mailing Address - Fax:913-588-8182
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:5026 WESCOE, MAILSTOP 2026
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-3402
Practice Address - Fax:913-588-8182
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9407021207R00000X
KS04-35035207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine