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DR. CARL ERNEST SHRADER MD NPI 1912985110


NPI Information

NPI: 1912985110
Provider Name: DR. CARL ERNEST SHRADER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
120 W. FINE AVE.
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-9695
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DR. Carl Ernest Shrader, MD is a family medicine in Flagstaff, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Carl Ernest Shrader, MD NPI is 1912985110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

120 W. FINE AVE.
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-9695
Fax: (928) 773-0208

The enumeration date for this NPI number is 1/6/2006 and was last updated on 1/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4602ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z120963MEDICARE PINARIZONA
2D00316MEDICARE UPINARIZONA
3Z133662MEDICARE UPINARIZONA
4Z121065MEDICARE UPINARIZONA
5Z120952MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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