Edwin L. Rader (NPI# 1821082801, PAC ID# 3476449273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1821082801 |
| PAC ID by PECOS | 3476449273 |
| Professional Enrollment ID | I20040227000197 |
| Full Name | Edwin L. Rader |
| Organization Legal Name | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
| Address |
30 Cortland Acres Ln Thomas WV 26292-8066 |
| Phone Number | 3044633331 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3072406438 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210017 | GARRETT COUNTY MEMORIAL HOSPITAL |
| 510030 | DAVIS MEDICAL CENTER |
| 510001 | WEST VIRGINIA UNIVERSITY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 30 Cortland Acres Ln, Thomas, WV 26292-8066 | 3044633331 | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
| Organization Legal Name | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela K. Browning | Nurse Practitioner | Preston-taylor Community Health Centers, Incorporated | 30 Cortland Acres Ln, Thomas, WV 26292-8066 |
| Mary C Gainer | Family Practice | Preston-taylor Community Health Centers, Incorporated | 2060 N Mountaineer Hwy, Newburg, WV 26410-0159 |
| Peter V Wentzel | Family Practice | Preston-taylor Community Health Centers, Incorporated | 725 N Pike St, Grafton, WV 26354-1270 |
| Allan Burt Kunkel | Family Practice | Preston-taylor Community Health Centers, Incorporated | 14311 George Washington Hwy, Mount Storm, WV 26739 |
| Andrew Miles Foy | Family Practice | Preston-taylor Community Health Centers, Incorporated | 2604 Grange Hall Rd, Eglon, WV 26716-8774 |
| Street Address |
30 CORTLAND ACRES LN |
| City | THOMAS |
| State | WV |
| Zip | 26292-8066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela K. Browning | Nurse Practitioner | Preston-taylor Community Health Centers, Incorporated | 30 Cortland Acres Ln, Thomas, WV 26292-8066 |
| City | THOMAS |
| Zip Code | 26292 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | THOMAS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Edwin L. Rader.
| 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.