Provider Demographics
NPI:1013021476
Name:SCHRAGER, DEBORAH SCHILLER (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:SCHILLER
Last Name:SCHRAGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:SUITE 106
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4143
Practice Address - Fax:215-612-4909
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033760E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010858710008Medicaid
PA0010858710009Medicaid
PA0010858710006Medicaid
PA2903742OtherAETNA
PA1165291OtherKEYSTONE MERCY
PA33630OtherHEALTH PARTNERS TC
PA0081968000OtherKEYSTONE IBC
PA7942895OtherCIGNA
PA01805871-05OtherAMERICHOICE- TORRESDALE
PA01805871-06OtherAMERICHOICE - FRANKFORD
PA127901OtherPERSONAL CHOICE
PA0010858710007Medicaid
PA127901OtherHIGHMARK BLUE SHIELD
PA1319381OtherFIRST HEALTH
PA1150984OtherUNITED
PA0081968000OtherKEYSTONE IBC
PA0010858710008Medicaid