Healthcare Provider Details

I. General information

NPI: 1225945611
Provider Name (Legal Business Name): MS. ERICA LEE SCHRADER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 JASONWAY AVE STE B
COLUMBUS OH
43214-2456
US

IV. Provider business mailing address

5646 CHRESHEM AVE
GAHANNA OH
43230-8331
US

V. Phone/Fax

Practice location:
  • Phone: 614-268-8800
  • Fax:
Mailing address:
  • Phone: 614-558-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberAPRN.CNP.0043114
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: