Active NPI
Thomas D. Kramer Jr., MD
- Emergency Medicine Physician
- Avon, OH
National Provider Identifier
1417939109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 54913
- Practice address
- 33100 Cleveland Clinic Blvd
Avon, OH 44011-1390 - Phone
- (440) 695-4650
- NPI assigned
- Nov 17, 2005
- 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 | 54913 | GA | Primary |
Addresses
Primary practice location
33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Mailing address
19427 Argyle Oval
Rocky River, OH 44116-1661
Phone (216) 704-7090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00175563 | Other | GA | RAILROAD MEDICARE |
| 838328185A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1111 Hayes Ave
Sandusky, OH 44870-3323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54913 | GA | MD | Emergency Medicine Physician |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Sandusky, OH
- NPI 1922092014
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tiffin, OH
- NPI 1154372381
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1285392936
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandusky, OH
- NPI 1629028600
Hospital
-
- General Acute Care Hospital
- Sandusky, OH
- NPI 1801884655
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, OH
- NPI 1992756118
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1417939109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19427 ARGYLE OVAL",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441161661",
"telephone_number": "216-704-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33100 CLEVELAND CLINIC BLVD",
"city": "AVON",
"state": "OH",
"postal_code": "440111390",
"telephone_number": "440-695-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "THOMAS",
"middle_name": "D.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "54913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00175563",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "838328185A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.