MR. KEVIN KIRKWOOD SCHMIDT (NPI# 1568579498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568579498 |
| Entity Type | Individual |
| Full Name | MR. KEVIN KIRKWOOD SCHMIDT |
| Credential | PA-C |
| Practice Address |
12360 Creekwood Ln Carmel IN 46032-8287 |
| Practice Telephone | 3178440852 |
| Practice Fax Number | 3137481181 |
| Mailing Telephone | 3178440852 |
| Mailing Fax Number | 3137481181 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10000460A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM - CIPA | 000000596241 | 01 |
| IN | MEDICARE PIN - CIPA | 256870Q | 01 |
| IN | MEDICARE RAIL ROAD | 970023217 | 01 |
| IN | INDIANA LICENSE | 10000460A | 01 |
| NCCPA CERTIFICATION # | 1041479 | 01 | |
| IN | ANTHEM - TIPTON HOSPITAL | 000000603577 | 01 |
| CAQH | 11480220 | 01 | |
| IN | ANTHEM | 000000290615 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811039035 | Kevin A Schmidt | Physical Therapist | 2622 Se 25th Ave, Suite B, Portland, OR 97202-1217 | 2007-02-13 |
| 1043310667 | Kevin Dean Schmidt | Chiropractor | 225 E Washington St, Millstadt, IL 62260-1225 | 2006-09-24 |
| 1063403095 | Kevin D Schmidt | Optometrist | 5323 Mount View Rd, Antioch, TN 37013-2308 | 2005-10-31 |
| 1629421086 | Kevin Blaine Schmidt | Counselor | 2100 Lake Ida Rd, Ste 2, Delray Beach, FL 33445-2442 | 2016-07-20 |
| 1851740070 | Kevin Schmidt | Dentist | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2016-06-08 |
| 1245557776 | Kevin O Schmidt | Internal Medicine | 747 Broadway, Seattle, WA 98122-4379 | 2010-04-23 |
| 1952500134 | Kevin Robert Schmidt | Physical Medicine & Rehabilitation | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2007-07-17 |
| 1831278795 | Kevin Schmidt | Dentist | 3250 Plymouth Rd, Ste 202, Ann Arbor, MI 48105-2592 | 2006-11-03 |
| 1043316409 | Kevin E Schmidt | Family Medicine | 300 Stafford St, Ste 300, Springfield, MA 01104-3581 | 2006-09-15 |
| 1083643662 | Kevin R Schmidt | Emergency Medicine | 2615 Eye St, Bakersfield, CA 93301-2006 | 2006-07-03 |
| Street Address |
12360 CREEKWOOD LN |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-8287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467600627 | Elizabeth Hanson Schmidt | Physician Assistant | 12360 Creekwood Ln, Carmel, IN 46032-8287 | 2008-08-29 |
| 1619168713 | Physician Assistant Surgical Services, Inc | Physician Assistant | 12360 Creekwood Ln, Carmel, IN 46032-8287 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710213624 | Brittany Lobbes Lafree | Physician Assistant | 755 West Carmel Drive, Ste. 101, Carmel, IN 46032-5875 | 2009-10-28 |
| 1780211615 | Leah Nicole Kearley | Physician Assistant | 11700 N Meridian St, Carmel, IN 46032-4656 | 2020-03-23 |
| 1154813913 | Kayley Marie Rainey | Physician Assistant | 11700 N Meridian St, Carmel, IN 46032-4656 | 2018-06-06 |
| 1689196750 | Amanda B Eckhardt | Physician Assistant | 11700 N Meridian St, Carmel, IN 46032-4656 | 2017-07-11 |
| 1215459656 | Ryan M Mihalic | Physician Assistant | 11700 N Meridian St, Carmel, IN 46032-4656 | 2017-07-07 |
| 1962854869 | Alisia C Curran | Physician Assistant | 13250 Hazel Dell Pkwy Ste 104, Carmel, IN 46033-8527 | 2016-07-05 |
| 1134503790 | Brandon Boyd | Physician Assistant | 12188a N Meridian St, Suite 375, Carmel, IN 46032-4406 | 2015-07-14 |
| 1841551728 | Daniel J Parchen | Physician Assistant | 670 Stoneleigh Ave, Carmel, NY 10512 | 2012-06-06 |
| 1649412560 | Lara Mitchell Tate | Physician Assistant | 11700 N Meridian St, Carmel, IN 46032-4656 | 2009-03-25 |
| 1124269394 | Tanya Gaynor | Physician Assistant | 75 Seminary Hill Rd, Carmel, NY 10512-1921 | 2009-03-17 |
| Find all providers in CARMEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.