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Deactivated NPI 1275615494 Deactivated / Inactive NPI Male Practitioner

Dr. David L Shrader , MD

Specialist • Afton, WY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Shrader has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 19, 2006
NPI Deactivation Date September 18, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Shrader, MD was a registered Specialist practicing in Afton, WY. Throughout an active medical career spanning 18 years, Dr. Shrader provided care at the practice location at 110 HOSPITAL LANE until profile deactivation on 2024-09-18.

Practice Location & Contact Primary Location

Practice Address

110 Hospital Lane

Afton, WY 83110

Telephone 3078555852
Fax 2085290359

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Afton, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Afton, WY (61 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M3691

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. William Armour , MD

Internal Medicine - Pulmonary Disease

NPI 1164527925

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 18, 2024

Record deactivated on September 18, 2024

NPI Profile Active July 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 06, 2011

Registered at 110 HOSPITAL LANE, AFTON, WY 83110 (Tel: 3078555852)

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Updated Business Mailing Address July 06, 2011

Registered at P.O. BOX 579, AFTON, WY 831100579 (Tel: 3078855852)

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Provider Name / Credentials Updated July 06, 2011

Recorded as DAVID SHRADER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2011

Specialist (License #M3691 in ID)

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Initial NPI Registration & Enumeration October 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275615494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2006
Last Update: July 06, 2011
Deactivation Date: September 18, 2024

Mailing Address

P.o. Box 579

Afton, WY 831100579

Phone: 3078855852

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.