Individual provider Active NPI

John O Schrader, M.D.

  • Cardiovascular Disease Physician
  • Enid, OK
National Provider Identifier
1710105077
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26379 Issued in OK
Practice address
707 S Monroe St
Enid, OK 73701-7286
Phone
(580) 616-7630
Fax
(580) 237-7516
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26379 OK Primary

Addresses

Primary practice location

707 S Monroe St
Enid, OK 73701-7286

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (580) 616-7630

Other practice location 1

707 S Monroe St
Enid, OK 73701-7286
Phone (580) 616-7630

Other identifiers 1

IdentifierTypeStateIssuer
200198690AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000619 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648370197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Nebraska College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Health Clinic PLLCGroup PAC ID 5597070326, 23 clinicians

Practice addresses (Care Compare)

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3539

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
  • Share Medical Center Hospital, Alva, OK, CCN 371341
  • Fairview Regional Medical Center Authority Hospital, Fairview, OK, CCN 371329
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Pacemaker insertion or repair14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22944NEMDLicensed Practical Nurse
26379OKMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Oct 1, 2013 Accepting new patients
Cardiovascular Health Clinic PLLC Cardiovascular Disease CurrentSince Feb 15, 2021 Accepting new patients
Cardiac Imaging Inc CurrentSince Apr 5, 2021 Accepting new patients
Advanced Cardiovascular Solutions, LLC CurrentSince Jul 16, 2024 Accepting new patients
Nebraska Heart Institute PC Cardiovascular Disease Past Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Advanced Surgical & Research Solutions LLC Past Accepting new patients
Cardiology Services of Enid Cardiovascular Disease Past Accepting new patients

Locations

620 S Madison St
Ste 202
Enid, OK 73701
Phone (580) 234-7604

3201 N Van Buren St
Ste 500
Enid, OK 73703
Phone (580) 233-2200

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3200 Quail Springs Pkwy
Ste 100
Oklahoma City, OK 73134
Phone (405) 418-5400

Interoperability endpoints

  • Direct secure messaging: john.schrader.1@23723.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23723/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jschrader23886@direct.okheart.com
  • Direct secure messaging: john.schrader.p1@direct.ahgcardiology.nextgenshare.com
  • Direct secure messaging: jschrader9049@direct.integrisok.com

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1710105077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "580-616-7630",
            "fax_number": "580-237-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S MONROE ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017286",
            "telephone_number": "580-616-7630",
            "fax_number": "580-237-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737017286",
            "country_code": "US",
            "telephone_number": "580-616-7630",
            "fax_number": "580-237-7516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "JOHN",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "26379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.