Active NPI
Daniel D. Schrader, M.D. P.L.L.C.
- Cardiovascular Disease Physician
- El Dorado, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- E3620
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel D Schrader, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- 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.
-
- Cardiovascular Disease Physician
- El Dorado, AR
- NPI 1689634982
AR, Cardiovascular Disease
-
- Family Medicine Physician
- Palm Springs, FL
- NPI 1134336951
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.