PROF. JOHN WILLIAM SCHRADER (NPI# 1306830849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306830849 |
| Entity Type | Individual |
| Full Name | PROF. JOHN WILLIAM SCHRADER |
| Credential | HSD, LAT, ATC |
| Practice Address |
1001 E. 17th Street, Assembly Hall Sports Medicine Department Bloomington IN 47408 |
| Mailing Address |
2602 N Browncliff Ln Bloomington IN 47408-1310 |
| Practice Telephone | 8128554509 |
| Practice Fax Number | 8128551810 |
| Mailing Telephone | 8128564905 |
| Mailing Fax Number | 8128562596 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36000281A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366470536 | John A Schrader | Dentist | 35 Woodbury Ln, North Andover, MA 01845-4709 | 2006-06-28 |
| 1710105077 | John O Schrader | Internal Medicine | 707 S Monroe St, Enid, OK 73701-7286 | 2007-04-23 |
| Street Address |
1001 E. 17TH STREET, ASSEMBLY HALL SPORTS MEDICINE DEPARTMENT |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
| 1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
| 1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
| 1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
| 1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
| 1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
| Find all providers in zip 47408 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110967 | Erica Zemites | Specialist/Technologist | 20 Brickyard Dr Apt A18, Bloomington, IL 61701-7085 | 2020-03-26 |
| 1083257547 | Ava Korinke | Specialist/Technologist | 701 E 17th St, Bloomington, IN 47408-1578 | 2019-10-28 |
| 1760025308 | Kyle Robert Barr | Specialist/Technologist | 1428 S Washington St, Bloomington, IN 47401-5878 | 2019-10-28 |
| 1497398028 | James Aaron Dash | Specialist/Technologist | 1419 W Allen St, Bloomington, IN 47403-2930 | 2019-10-27 |
| 1225671852 | Sierra Johnson | Specialist/Technologist | 2036 N Walnut St Apt 7, Bloomington, IN 47404-2465 | 2019-10-27 |
| 1285284158 | Keisuke Kawata | Specialist/Technologist | 1025 E 7th St # C215, Bloomington, IN 47405-7109 | 2019-09-12 |
| 1205485877 | Susan Marie Bitney | Specialist/Technologist | 10217 Scarborough Rd, Bloomington, MN 55437-2516 | 2019-09-06 |
| 1912566092 | Matthew Wayne Adams | Specialist/Technologist | 2301 E Arden Dr, Bloomington, IN 47401-6890 | 2019-06-11 |
| 1356806384 | Tori J Eastes | Specialist/Technologist | 1150 S Clarizz Blvd, Bloomington, IN 47401-4270 | 2019-02-04 |
| 1689139602 | Hallie Mccarn | Specialist/Technologist | 503 S Muller Pkwy Apt 303, Bloomington, IN 47403-1635 | 2019-02-04 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47408 |
Please comment or provide details below to improve the information on PROF. JOHN WILLIAM SCHRADER.
| 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.