Individual provider Active NPI

Thomas Cramer, CRNA

  • Certified Registered Nurse Anesthetist
  • Perryville, MO
National Provider Identifier
1598814618
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
081104 Issued in MO
Practice address
434 N West St
Perryville, MO 63775-1359
Phone
(573) 547-2536
NPI assigned
Jan 9, 2007
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 081104 MO Primary

Addresses

Primary practice location

434 N West St
Perryville, MO 63775-1359

Mailing address

PO Box 486
Ste Genevieve, MO 63670-0486
Phone (573) 883-2751

Other practice location 1

802 Sainte Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-2751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000204 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648347658 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Current Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Resource Anesthesiology Associates of Mo LLC Anesthesiology CurrentSince Feb 1, 2019 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2012 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
ASC Anesthesia LLC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Ste Genevieve County Memorial Hospital SG MH Pharmacy Past Accepting new patients
Ste Genevieve County Memorial Hospital Past Accepting new patients

Locations

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

300 S Mount Auburn Rd
Ste 200
Cpe Girardeau, MO 63703
Phone (573) 332-7881

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1598814618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636700486",
            "telephone_number": "573-883-2751",
            "fax_number": "573-883-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N WEST ST",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751359",
            "telephone_number": "573-547-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Sainte Genevieve Dr",
            "address_purpose": "LOCATION",
            "city": "Ste Genevieve",
            "state": "MO",
            "postal_code": "636701434",
            "country_code": "US",
            "telephone_number": "573-883-2751",
            "fax_number": "573-883-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "THOMAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "081104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.