Individual
JUSTIN D SCHRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
(317) 963-5492
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01090002A
IN
207P00000X
Emergency Medicine Physician
72788
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200640077
MEDICARE PTAN
IN
01
—
266431040
MEDICARE PTAN
IN
05
—
300077406
—
IN
Enumeration date
04/03/2012
Last updated
03/08/2025
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