Basic Information
| Provider Information | |||||||||
| NPI: | 1841267267 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHMITT | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | THOROGOOD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 44008 | ||||||||
| Address2: | PROVIDER ENROLLMENT | ||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322314008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042443660 | ||||||||
| FaxNumber: | 9042443425 | ||||||||
| Practice Location | |||||||||
| Address1: | 841 PRUDENTIAL DR | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322078329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9046330920 | ||||||||
| FaxNumber: | 9046330921 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2006 | ||||||||
| LastUpdateDate: | 08/11/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 0101231976 | VA | N | Allopathic & Osteopathic Physicians | Pediatrics | 208100000X | 0101231976 | VA | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 2081P0010X | ME111021 | FL | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pediatric Rehabilitation Medicine |
ID Information
| ID | Type | State | Issuer | Description | 003113460A | 05 | GA | MEDICAID | 49525 | 01 | VA | SENTARA OPTIMA | OTHER | 004066400 | 05 | FL | MEDICAID | 064X6 | 01 | NC | NC BC/BS | OTHER | 287395 | 01 | VA | ANTHEM | OTHER | PAR | 01 | VA | USA MANAGED CARE | OTHER | PAR | 01 | VA | CORVEL/CORCARE | OTHER | PAR | 01 | VA | AETNA | OTHER | 297092 | 01 | UHC/MAMSI | OTHER | PAR | 01 | VA | VIRGINIA HEALTH NETWORK | OTHER | 14H4R | 01 | FL | BCBSFL | OTHER | -017 | 01 | VA | TRICARE/CHAMPUS | OTHER | 006802621 | 05 | VA | MEDICAID | 10007085 | 01 | SENTARA/OPTIMA | OTHER | PAR | 01 | VA | CIGNA | OTHER | 89064X6 | 05 | NC | MEDICAID | PAR | 01 | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | OTHER | PAR | 01 | VA | VIRGINIA PREMIER HEALTH | OTHER |