W. Eric Shrader MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101037561 Issued in VA

Legal business name

W. ERIC SHRADER MD PC

Practice address

986 Ben Bolt Ave
Tazewell, VA 24651

Phone

(276) 979-1323

Fax

(276) 979-9123

NPI assigned

Feb 12, 2007

Last updated

Nov 26, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. W Eric Shrader, M.D.

Title

Owner

Phone

(276) 979-1323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Eric Shrader, M.D.

  • Family Medicine Physician
  • Tazewell, VA
  • NPI 1194784264
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1194867952",
    "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": "24651",
            "telephone_number": "276-979-1323",
            "fax_number": "276-979-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. ERIC SHRADER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SHRADER",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-979-1323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101037561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of Tazewell
• Hunter Ashley Turner, DMD
• David Vance, PHARMD.
• Samson S Velena, MD
• Virginia Department of Health (Tazewell County Health Department)
• William Edward Wear, M.D.
• Leigh Shannon Wess, MA CCC-SLP
• Crystal Gay White, LMT
• Maria Elena White
• Abigail Grace Whitt, FNP

• Family Medicine Physician in Tazewell, VA
• Providers in Tazewell, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.