CHARLES WILLIAM SCHMIDT (NPI# 1851473987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851473987 |
| Entity Type | Individual |
| Full Name | CHARLES WILLIAM SCHMIDT |
| Credential | MD |
| Practice Address |
21 Montauk Ave Suite 304 New London CT 06320-4906 |
| Practice Telephone | 8604438428 |
| Mailing Telephone | 8604438428 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 015517 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | 031405 | 01 |
| CT | ANTHEM BLUESHIELD | 010015517CT01SC | 01 |
| OXFORD | NLS037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336272947 | Charles G Schmidt | Marriage & Family Therapist | 14515 Hamlin Street, #200, Van Nuys, CA 91411 | 2007-03-13 |
| 1780794859 | Charles Schmidt | Chiropractor | 3395 Bouldercrest Rd, Ellenwood, GA 30294 | 2006-08-30 |
| 1629237672 | Charles J Schmidt | Dentist | 22 Bunker Hill St, Lancaster, NH 03584-3009 | 2008-06-05 |
| 1760688196 | Charles Robert Schmidt | Anesthesiology | 4949 Tamiami Trl N, Suite 206, Naples, FL 34103-3027 | 2007-06-22 |
| 1124107768 | Charles Edwin Schmidt | Dermatology | 1120 Bayview Dr, Fort Lauderdale, FL 33304-2505 | 2006-11-03 |
| Street Address |
21 MONTAUK AVE SUITE 304 |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215909379 | Stephen Glenn Vance | Psychiatry & Neurology | 21 Montauk Ave, New London, CT 06320-4906 | 2006-02-03 |
| 1982189056 | Cassandra M Rice | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2018-09-25 |
| 1114421765 | Sarah Bochet | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2018-03-20 |
| 1356841415 | Madena Lynn Lewis | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320 | 2018-02-15 |
| 1336655240 | Peggy Nelson | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2017-12-15 |
| 1417469446 | Glorimar Anderson | Social Worker | 21 Montauk Ave, New London, CT 06320 | 2017-10-31 |
| 1295189389 | Kevin M Messier | Pharmacist | 21 Montauk Ave, Suite 102, New London, CT 06320-4906 | 2016-04-15 |
| 1821464017 | Ellen Louise Sollazzo | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320-4906 | 2015-08-11 |
| 1275918732 | Rachael Mullen | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2015-07-27 |
| 1982091781 | Bryan D Mccloskey | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902839038 | Thames Urology Center, LLC | Urology | 3 Shaw's Cove, Suite 206, New London, CT 06320 | 2006-07-09 |
| 1225324239 | David F Crawley | Urology | 3 Shaws Cv, Suite 206, New London, CT 06320-4952 | 2011-06-28 |
| 1720371818 | Timothy Tran | Urology | 365 Montauk Avenue, Faire Harbour Building, 2nd Fl, Suite 2.013, New London, CT 06320 | 2011-05-23 |
| 1164504247 | Richard Arnold Fraser | Urology | 3 Shaw's Cove, Suite 206, New London, CT 06320-4906 | 2006-10-19 |
| 1740362730 | Urologic Associates, PC | Urology | 21 Montauk Ave, Suite 304, New London, CT 06320-4906 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1407325863 | Health Quest Medical Practice, PC | Urology | 120 Park Lane Poad, Suite A202, New Milford, CT 06776-2445 | 2018-11-15 |
| 1740667815 | Keith Richard O'brien | Urology | 2600 Main St Ste 119, Bridgeport, CT 06606-5305 | 2015-04-28 |
| 1336534312 | David Thomas Ahlborn | Urology | 80 Seymour St Dept Of, Hartford, CT 06106-3315 | 2015-04-06 |
| 1487095451 | Alan Cahn Davidson | Urology | 15 Edgehill Dr, Woodbridge, CT 06525-1418 | 2013-07-08 |
| 1003158106 | Christine White Cumarasamy | Urology | Hartford Hospital Urology Dept, 79 Retreat Avenue, Hartford, CT 06106 | 2013-03-27 |
| 1568722551 | Joseph Mathew Brito IIi | Urology | 789 Howard Ave # Fmp302, New Haven, CT 06519-1304 | 2012-05-23 |
| 1861768749 | Philip B. Jensen | Urology | 59 Hilltop Road, Sharon, CT 06069-0727 | 2012-03-26 |
| 1568749612 | Michael G Tager | Urology | 104 Imperial Ave, Westport, CT 06880-5034 | 2011-11-03 |
| 1679869572 | Dana Ufnal Kivlin | Urology | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | 2011-06-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.