Active NPI
Stephan M Kramer, DO
- Emergency Medicine Physician
- Allen, TX
National Provider Identifier
1265475453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J9137
- Practice address
- 1105 Central Expy N
Allen, TX 75013-6103 - Phone
- (972) 747-6552
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | J9137 | TX | Primary |
Addresses
Primary practice location
1105 Central Expy N
Allen, TX 75013-6103
Mailing address
PO Box 8549
Fort Worth, TX 76124-0549
Phone (817) 451-4208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035DD | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1265475453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8549",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761240549",
"telephone_number": "817-451-4208",
"fax_number": "817-563-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 CENTRAL EXPY N",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136103",
"telephone_number": "972-747-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "STEPHAN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J9137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0035DD",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.