Organization Active NPI

Daniel D. Schrader, M.D. P.L.L.C.

  • Cardiovascular Disease Physician
  • El Dorado, AR
National Provider Identifier
1407087224
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E3620 Issued in AR
Legal business name
DANIEL D. SCHRADER, M.D. P.L.L.C.
Practice address
704 W Grove St
Suite 7
El Dorado, AR 71730-4416
Phone
(870) 864-6700
Fax
(870) 864-6704
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Daniel D Schrader, MDNPI 1689634982
Title
Owner
Phone
(870) 864-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X E3620 AR Primary

Addresses

Primary practice location

704 W Grove St
Suite 7
El Dorado, AR 71730-4416

Mailing address

704 W Grove St
Suite 7
El Dorado, AR 71730-4416
Phone (870) 864-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000351 AR Part B Supplier - Clinic/Group Practice 4789730789 Receives reassigned benefits from 1 practitioner
Practice locations: El Dorado, AR

National Provider Directory

National Provider Directory

Locations

431 Thompson Ave
Ste 7
El Dorado, AR 71730

704 W Grove St
Ste 7A
El Dorado, AR 71730
Phone (870) 864-6700

431 Thompson Ave
El Dorado, AR 71730
Phone (870) 864-6700

704 W Grove St
Ste 7
El Dorado, AR 71730
Phone (870) 862-2631

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2167/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1407087224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W GROVE ST",
            "address_2": "SUITE 7",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-864-6700",
            "fax_number": "870-864-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W GROVE ST",
            "address_2": "SUITE 7",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-864-6700",
            "fax_number": "870-864-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D. SCHRADER, M.D. P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-864-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E3620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.