Active NPI
Sara B. Schrader, MD
- Family Medicine Physician
- Tunica, MS
National Provider Identifier
1932157013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10788
- Practice address
- 1813 Highway 61 N
Tunica, MS 38676-9683 - Phone
- (662) 357-0012
- Fax
- (662) 357-0021
- NPI assigned
- May 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 28505 | KY | |
| Emergency Medicine Physician | 207P00000X | 10788 | MS | |
| Family Medicine Physician | 207Q00000X | 10788 | MS | Primary |
Addresses
Primary practice location
1813 Highway 61 N
Tunica, MS 38676-9683
Mailing address
227 Bellewether Pass
Ridgeland, MS 39157-8758
Phone (601) 605-0459
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1162515 | Medicaid | LA | |
| 3883873 | Medicaid | TN | |
| 00126344 | Medicaid | MS |
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 |
|---|---|---|---|
| 10788 | MS | MD | Family Medicine Physician |
| 28146 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chickasaw Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| Southern Health Corp. of Houston, Inc | Past | Accepting new patients | |
| Batesville Emergency Physicians | Past | Accepting new patients | |
| Red Hills Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Finest Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Lefleur Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Batesville, MS
- NPI 1316036973
-
- Medical Physician Assistant
- Houston, MS
- NPI 1134215478
Emergency Medicine
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1891985420
-
- Emergency Medicine Physician
- Brandon, MS
- NPI 1841451176
-
- Rural Health Clinic/Center
- Houston, MS
- NPI 1083721732
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1609026681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1932157013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 BELLEWETHER PASS",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391578758",
"telephone_number": "601-605-0459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 HIGHWAY 61 N",
"city": "TUNICA",
"state": "MS",
"postal_code": "386769683",
"telephone_number": "662-357-0012",
"fax_number": "662-357-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRADER",
"first_name": "SARA",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "28505",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "10788",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "10788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1162515",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3883873",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00126344",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tunica, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.