JAMES PAUL SHRADER (NPI# 1053813089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053813089 |
| Entity Type | Individual |
| Full Name | JAMES PAUL SHRADER |
| Credential | CPO |
| Practice Address |
1551 Bond Street Suite 111 Naperville IL 60563 |
| Mailing Address |
1s376 Summit Ave Court E Oakbrook Terrace IL 60181-3985 |
| Practice Telephone | 6306374638 |
| Practice Fax Number | 6306374642 |
| Mailing Telephone | 6307054092 |
| Mailing Fax Number | 6304240467 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 211.000050 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1551 BOND STREET SUITE 111 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851689665 | Hector Rodriguez Casanova | Prosthetist | 1322 Wilshire Dr, Naperville, IL 60540-4226 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653330 | Eduardo Arias | Prosthetist | 811 S Paulina St Ste 161, Chicago, IL 60612-4353 | 2020-06-15 |
| 1063041036 | Tanyale Allen | Prosthetist | 1016 E 156th Pl, Dolton, IL 60419-2775 | 2020-04-02 |
| 1700414950 | Harold Wayne Duckett | Prosthetist | 1801 15th Street Pl, Moline, IL 61265-3964 | 2020-03-31 |
| 1598395535 | Samira Kamran | Prosthetist | 211 E Ohio St Apt 2505, Chicago, IL 60611-3257 | 2020-01-17 |
| 1558906065 | Meilani Schaeffer | Prosthetist | 11317 W 159th St, Orland Park, IL 60467-5659 | 2019-11-08 |
| 1124586078 | Kaiisha Dear Sweet | Prosthetist | 3408 W 95th St, Evergreen Park, IL 60805-2204 | 2019-03-11 |
| 1851859706 | Keisha Shavonne Jackson-murry | Prosthetist | 812 Gladstone Dr, Vernon Hills, IL 60061-1406 | 2019-03-11 |
| 1811461437 | Debria Filer | Prosthetist | 16126 S Park Ave, South Holland, IL 60473-1581 | 2019-01-16 |
| 1144738519 | Taisha Worlds | Prosthetist | 2745 Bristol Dr, Lisle, IL 60532-4215 | 2018-01-18 |
| 1215455852 | Bethany Banks | Prosthetist | 9161 W. Cermak Rd, North Riveride, IL 60546 | 2017-09-04 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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| 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.