Betsy Susan Shrader, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

02003018A Issued in IN

Practice address

901 Macarthur Boulevard
Munster, IN 46321-3901

Phone

(219) 836-1600

Fax

(219) 513-1127

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth Susan Shrader Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Palos Anesthesia Associates, S.C

  • Anesthesiology Physician
  • Palos Heights, IL
  • NPI 1659345791
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1316033822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BOULEVARD",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212901",
            "telephone_number": "219-836-7040",
            "fax_number": "219-513-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MACARTHUR BOULEVARD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213901",
            "telephone_number": "219-836-1600",
            "fax_number": "219-513-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "BETSY",
        "middle_name": "SUSAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "02003018A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000393566",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SHRADER",
            "middle_name": "SUSAN",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Azra Shibli Sheriff, MD
• Nikhil A Shetty, M.D.
• Amy Elaine Shevokas, D.C.
• Robert C Shingler
• Nida Shirazi, D.O.
• Diana Shrader, MD
• Wassim Shwaiki, M.D.
• Scott Siegall, MD
• Jessica Hope Siegler, M.D.
• Brandon Michael Sikorski, APRN, ACCNS-AG

• Anesthesiology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.