Active NPI
Dean A Schrader, PA-C
- Medical Physician Assistant
- Greenville, MI
National Provider Identifier
1255384335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601002057
- Practice address
- 8333 Crestview Dr
Greenville, MI 48838-8133 - Phone
- (616) 225-0221
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601002057 | MI | Primary |
Addresses
Primary practice location
8333 Crestview Dr
Greenville, MI 48838-8133
Mailing address
8333 Crestview Dr
Greenville, MI 48838-8133
Phone (616) 225-0221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00644989 | Other | MI | RAILROAD MEDICARE |
| 5341015 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory United | Medical | Past | Accepting new patients |
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Spectrum Health Kelsey | Past | Accepting new patients | |
| Spectrum Health Primary Care Partners | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1073567806
-
- Durable Medical Equipment & Medical Supplies
- Holland, MI
- NPI 1871741652
-
- Personal Emergency Response Attendant
- Lakeview, MI
- NPI 1902941057
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1255384335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 CRESTVIEW DR",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488388133",
"telephone_number": "616-225-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 CRESTVIEW DR",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488388133",
"telephone_number": "616-225-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRADER",
"first_name": "DEAN",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601002057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00644989",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5341015",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.