Active NPI
Kremer, PC
- Clinical Social Worker
- Grand Rapids, MI
National Provider Identifier
1033231923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801070616
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Kremer-Start
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D14590 | Other | MI | BLUE CROSS BLUE SHIELD |
| 680004805 | Other | RAILROAD MEDICARE | |
| 716836000 | Other | MI | MAGELLAN |
Other names 1
- Edwin F. Kremer, PhD, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Grand Rapids, MI
- NPI 1346787983
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1609998517
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.