Active NPI
Eloise Schrag, MD
- Internal Medicine Physician
- Freeman, SD
National Provider Identifier
1336110428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5376
- Practice address
- 804 Walnut St
Freeman, SD 57029-0900 - Phone
- (605) 925-4219
- NPI assigned
- Jan 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5376 | SD | Primary |
Addresses
Primary practice location
804 Walnut St
Freeman, SD 57029-0900
Mailing address
PO Box 900
Freeman, SD 57029-0900
Phone (605) 925-4219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6004830 | Medicaid | SD |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5376 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Medical Clinics, PA | Past | Accepting new patients |
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.
-
- Clinic/Center
- Bridgewater, SD
- NPI 1760453260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1336110428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 900",
"city": "FREEMAN",
"state": "SD",
"postal_code": "570290900",
"telephone_number": "605-925-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 WALNUT ST",
"city": "FREEMAN",
"state": "SD",
"postal_code": "570290900",
"telephone_number": "605-925-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAG",
"first_name": "ELOISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-28",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "5376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6004830",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Freeman, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.