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NPI Code Detail

MEDICARE: STUART W. SCHRADER D.O.

MEDICARE: STUART W. SCHRADER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician3883OK
2207R00000XInternal Medicine Physician3883OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110226567OTHEROKMEDICARE RAILROAD #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336173491
Entity Type Code : Individual
Provider Name (Legal Business Name) : STUART W. SCHRADER D.O.
Provider Business Mailing Address
First Line : 609 W MEMORIAL RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-2006
Country : US
Telephone Number : 405-418-5400
Fax Number : 405-418-5401
Provider Business Practice Location Address
First Line : 609 W MEMORIAL RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-2006
Country : US
Telephone Number : 405-418-5400
Fax Number : 405-418-5401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 04/22/2025

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Directions to “ STUART W. SCHRADER D.O.” Practice Location

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