Individual provider Active NPI

Robert Gary Kramer III, DO

  • Emergency Medicine Physician
  • Norman, OK
National Provider Identifier
1285069500
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0369R Issued in OK
Practice address
901 N Porter Ave
Norman, OK 73071-6404
Phone
(405) 307-1561
NPI assigned
Sep 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 63898 OK
Emergency Medicine Physician 207P00000X 0369R OK Primary

Addresses

Primary practice location

901 N Porter Ave
Norman, OK 73071-6404

Mailing address

3220 SW 96TH St
Oklahoma City, OK 73159-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220303000163 TX Practitioner - Emergency Medicine 8921492232 Reassigns benefits to 1 organization
I20220323002820 OK Practitioner - Emergency Medicine 8921492232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Hospital AuthorityGroup PAC ID 2769395185, 27 clinicians

Practice addresses (Care Compare)

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

700 S Telephone Rd
Norman Regional Moore
Moore, OK 73160-2550
Phone (405) 793-9355

Hospital & facility affiliations

  • Norman Regional Hospital, Norman, OK, CCN 370008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63898OKMDParamedic
0369ROKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Hospital Authority Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Norman Regional Hospital Authority CurrentSince Mar 1, 2023 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 22, 2022 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Feb 22, 2022 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1285069500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SW 96TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716404",
            "telephone_number": "405-307-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "ROBERT",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OK",
            "license": "63898",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "0369R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.