NPIMap

Organization Active NPI

Soonok K. Cramer DPM

  • Podiatrist
  • Urbana, IL
National Provider Identifier
1104009125
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-003898 Issued in IL
Legal business name
SOONOK K. CRAMER DPM
Practice address
1210 E Main St
Urbana, IL 61802
Phone
(217) 367-4960
Fax
(217) 383-1083
NPI assigned
Dec 12, 2007
Last updated
Aug 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Dr. Soonok K. Cramer, DPMNPI 1811085269
Title
Owner
Phone
(217) 367-4960

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016-003898 IL Primary

Addresses

Primary practice location

1210 E Main St
Urbana, IL 61802

Mailing address

PO Box 17255
Urbana, IL 61803
Phone (217) 367-4960

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1104009125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17255",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61803",
            "telephone_number": "217-367-4960",
            "fax_number": "217-383-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E MAIN ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61802",
            "telephone_number": "217-367-4960",
            "fax_number": "217-383-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOONOK K. CRAMER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "SOONOK",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-367-4960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-003898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.