Active NPI
William Eric Shrader, M.D.
- Family Medicine Physician
- Tazewell, VA
National Provider Identifier
1194784264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101037561
- Practice address
- 986 Ben Bolt Ave
Tazewell, VA 24651-9706 - Phone
- (276) 979-1323
- Fax
- (276) 979-9123
- NPI assigned
- Mar 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101037561 | VA | Primary |
Addresses
Primary practice location
986 Ben Bolt Ave
Tazewell, VA 24651-9706
Mailing address
PO Box 309
Tazewell, VA 24651-0309
Phone (276) 979-1323
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000633425 | Other | WVPEIA | |
| 257822 | Other | VA | ANTHEM |
| 5614481 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
140 Campbell LN
Tazewell, VA 24651-9783
Phone (276) 979-1323
Hospital & facility affiliations
- Carilion Tazewell Community Hospital
- Clinch Valley Medical Center
- Princeton Community Hospital Assn Inc
- Russell County Hospital
- Johnson City Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.43 of 100
- Quality
- 51.11
- Improvement activities
- 40
- Cost
- 86.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 58 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037561 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. Eric Shrader MD PC | Family Medicine | Current | Accepting new patients |
Locations
140 Campbell Ln
Tazewell, VA 24651
Phone (276) 979-1323
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tazewell, VA
- NPI 1194867952
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tazewell, VA
- NPI 1427040328
-
- General Acute Care Hospital
- Richlands, VA
- NPI 1871534297
-
- General Acute Care Hospital
- Lebanon, VA
- NPI 1891973939
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1194784264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246510309",
"telephone_number": "276-979-1323",
"fax_number": "276-979-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 BEN BOLT AVE",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246519706",
"telephone_number": "276-979-1323",
"fax_number": "276-979-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRADER",
"first_name": "WILLIAM",
"middle_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101037561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WVPEIA",
"identifier": "000633425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "257822",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5614481",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tazewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.