Jon M Shrader (NPI# 1447245980, PAC ID# 9638083082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1447245980 |
PAC ID by PECOS | 9638083082 |
Professional Enrollment ID | I20031204000424 |
Full Name | Jon M Shrader |
Address |
2301 N Dr Martin Luther King Jr Blvd Clovis NM 88101-9401 |
Gender | M |
Credential | DO |
Medical School | UNIVERSITY MEDICAL COLLEGE OF KANSAS CITY |
Graduation Year | 1991 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320022 | PLAINS REGIONAL MEDICAL CENTER |
320084 | ROOSEVELT GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
2301 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9401 |
Street Address |
2301 N DR MARTIN LUTHER KING JR BLVD |
City | CLOVIS |
State | NM |
Zip | 88101-9401 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erika S Potts | Nurse Practitioner | Clovis Family Health Care Center LLC | 2301 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9401 |
Kim G Devou | Nurse Practitioner | Clovis Family Health Care Center LLC | 2301 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9401 |
Johanna C Pettrey | Nurse Practitioner | Clovis Family Health Care Center LLC | 2301 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9401 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vanessa Yardley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
Jared Dumas | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
Ryan Steed | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
Ndeye Ndour | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
Jacob T Russell | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
Aba Saaba Hagan | Nurse Practitioner | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
Donna M Thibodeau | Internal Medicine | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
Kalyan Chakravarthy Saginala | Internal Medicine | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
Lorena A Kroeger | Nurse Practitioner | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
Brian E Willmon | Internal Medicine | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
Find all physicians in zip 88101 |
City | CLOVIS |
Zip Code | 88101 |
Specialty | FAMILY MEDICINE |
City + Specialty | CLOVIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jon M Shrader.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.