DR. DAVID L SHRADER (NPI# 1275615494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275615494 |
| Entity Type | Individual |
| Full Name | DR. DAVID L SHRADER |
| Credential | M.D. |
| Practice Address |
110 Hospital Lane Afton WY 83110 |
| Mailing Address |
P.o. Box 579 Afton WY 83110-0579 |
| Practice Telephone | 3078555852 |
| Practice Fax Number | 2085290359 |
| Mailing Telephone | 3078855852 |
| Mailing Fax Number | 3078855889 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | M3691 | ID | Other Service Providers |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
TL802 | WY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629243928 | David Paul Shrader | Physical Therapist | 350 S 8th St, Lebanon, OR 97355-2242 | 2008-04-28 |
| Street Address |
110 HOSPITAL LANE |
| City | AFTON |
| State | WY |
| Zip Code | 83110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358962 | Christian M Morgan | Family Medicine | 110 Hospital Lane, Afton, WY 83110-0579 | 2005-06-30 |
| 1881841898 | Kyle Hirschi | Physician Assistant | 110 Hospital Lane, Afton, WY 83110-0579 | 2008-08-20 |
| 1174717128 | Michael Ross Pieper | Family Medicine | 110 Hospital Lane, Afton, WY 83110-0579 | 2007-09-04 |
| 1225155997 | Niki M Milleson | Family Medicine | 110 Hospital Lane, Afton, WY 83110-0579 | 2007-03-26 |
| 1770517344 | David N. Olsen | Nurse Anesthetist, Certified Registered | 110 Hospital Lane, Afton, WY 83110 | 2006-07-10 |
| 1538195417 | Kitchener Paul Head | Family Medicine | 110 Hospital Lane, Afton, WY 83110 | 2006-06-23 |
| 1073549952 | Allen D Carter | Family Medicine | 110 Hospital Lane, Afton, WY 83110-0579 | 2006-06-23 |
| 1750327979 | Noel B Stibor | Family Medicine | 110 Hospital Lane, Afton, WY 83110-0579 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269569 | Allred Performance and Rehabilitation LLC | Physical Therapist | 533 Allred Rd, Afton, WY 83110 | 2020-09-15 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1073090585 | Star Valley Healthcare, Inc. | Home Health | 625 S Washington St, Ste B, Afton, WY 83110 | 2018-07-26 |
| 1669962247 | Easy Access LLC. | Durable Medical Equipment & Medical Supplies | 152 Hillview Dr., Afton, WY 83110 | 2018-05-18 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1396294914 | Jamie Armstrong | Speech-Language Pathologist | 675 Washington, Afton, WY 83110 | 2016-09-23 |
| 1295184398 | Northwest Home Health LLC | Home Health | 422 South Washington, Ste F, Afton, WY 83110 | 2016-06-09 |
| 1811363955 | Ashley Hall | Registered Nurse | 125 South Washington, Afton, WY 83110 | 2015-08-12 |
| Find all providers in zip 83110 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346288347 | Billings Clinic | Internal Medicine | 201 Yellowstone Ave, Cody, WY 82414-9313 | 2006-06-02 |
| 1225641442 | Poudre Valley Medical Group, LLC | Internal Medicine | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2020-08-27 |
| 1497368617 | Poudre Valley Medical Group, LLC | Internal Medicine | 3116 Willett Dr, Laramie, WY 82072-5048 | 2020-08-27 |
| 1013293745 | Campbell County Hospital District | Internal Medicine | 501 S Burma Ave, 3s-pulm, Gillette, WY 82716-3426 | 2011-10-26 |
| 1811130289 | Darryl Duane Bindschadler | Internal Medicine | 821 W Pershing Blvd, Cheyenne, WY 82001-2537 | 2009-04-14 |
| 1427250547 | Manish Aggarwal | Internal Medicine | 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 | 2007-06-01 |
| 1063517506 | Henry Kenneth Fisher | Internal Medicine | 1230 E 1st St, Casper, WY 82601-2704 | 2006-09-13 |
| 1922112531 | Muhammad Ammar Hussieno | Internal Medicine | 419 S Washington St, Suite 102, Casper, WY 82601-2951 | 2006-08-19 |
| 1295759660 | Casper Thoracic Medicine PC | Internal Medicine | 940 E 3rd St, Suite 207, Casper, WY 82601-3237 | 2006-07-27 |
| 1588691927 | Casper Thoracic Medicine, LLP | Internal Medicine | 940 E 3rd St, Suite 207, Casper, WY 82601-3237 | 2006-06-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.