Organization Active NPI

Kremer, PC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1033231923
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070616 Issued in MI
Legal business name
KREMER, PC
Practice address
750 Front Ave NW
Suite 311
Grand Rapids, MI 49504-4400
Phone
(616) 459-8971
Fax
(616) 459-2361
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Kremer-StartNPI 1346787983
Title
Office Manager
Phone
(616) 459-8971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801070616 MI Primary

Addresses

Primary practice location

750 Front Ave NW
Suite 311
Grand Rapids, MI 49504-4400

Mailing address

750 Front Ave NW
Suite 311
Grand Rapids, MI 49504-4400
Phone (616) 459-8971

Other identifiers 3

IdentifierTypeStateIssuer
0D14590OtherMIBLUE CROSS BLUE SHIELD
680004805OtherRAILROAD MEDICARE
716836000OtherMIMAGELLAN

Other names 1

  • Edwin F. Kremer, PhD, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150526000030 MI Part B Supplier - Clinic/Group Practice 3476873969 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1033231923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FRONT AVE NW",
            "address_2": "SUITE 311",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044400",
            "telephone_number": "616-459-8971",
            "fax_number": "616-459-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FRONT AVE NW",
            "address_2": "SUITE 311",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044400",
            "telephone_number": "616-459-8971",
            "fax_number": "616-459-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREMER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "KREMER-START",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-459-8971"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0D14590",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680004805",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "716836000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwin F. Kremer, PhD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.