Provider Demographics
NPI:1366544868
Name:SCHMIDT, RHYS THOMAS III (MD)
Entity type:Individual
Prefix:DR
First Name:RHYS
Middle Name:THOMAS
Last Name:SCHMIDT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:R.
Other - Middle Name:THOMAS
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2605 N LEBANON ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-1476
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8240 NAAB RD STE 320
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1987
Practice Address - Country:US
Practice Address - Phone:317-875-5461
Practice Address - Fax:317-872-1374
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01037000A2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300025596Medicaid
IN265780AMedicare ID - Type Unspecified