Active NPI
Timothy Luke Cramer, MD
- Interventional Pain Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 30764
- Practice address
- 1226 N Shartel Ave
Suite 300
Oklahoma City, OK 73103 - Phone
- (405) 232-8003
- Fax
- (405) 232-8008
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 30764 | OK | Primary |
Addresses
Primary practice location
1226 N Shartel Ave
Suite 300
Oklahoma City, OK 73103
Mailing address
701 NE 10TH St
Oklahoma City, OK 73104-5403
Phone (405) 232-8003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200639900A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1226 N Shartel Ave
Suite 300
Oklahoma City, OK 73103-2435
Phone (405) 232-8003
15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Pain Clinic, LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Absentee Shawnee Tribal Health Authority, Inc. | Current | Accepting new patients | |
| Summit Medical Center | Interventional Pain Medicine | Past | Accepting new patients |
Locations
15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300
1226 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 232-8003
2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Shawnee, OK
- NPI 1942253521
-
- Interventional Pain Medicine Physician
- Oklahoma City, OK
- NPI 1568946846
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Interventional Pain Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531526400000",
"number": "1275947335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 NE 10TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045403",
"telephone_number": "405-232-8003",
"fax_number": "405-232-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 N SHARTEL AVE",
"address_2": "SUITE 300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73103",
"telephone_number": "405-232-8003",
"fax_number": "405-232-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "TIMOTHY LUKE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2018-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OK",
"license": "30764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200639900A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.