Active NPI
Leslie Kramer, DO
- Specialist
- Cedar Rapids, IA
National Provider Identifier
1649219346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 02692
- Practice address
- 411 10TH St SE
Cedar Rapids, IA 52403-2442 - Phone
- (319) 362-3434
- Fax
- (319) 362-9568
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 02692 | IA | Primary |
Addresses
Primary practice location
411 10TH St SE
Cedar Rapids, IA 52403-2442
Mailing address
411 10TH St SE
Cedar Rapids, IA 52403-2449
Phone (319) 362-3434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076604 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02692 | IA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649219346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 10TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032449",
"telephone_number": "319-362-3434",
"fax_number": "319-362-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 10TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032442",
"telephone_number": "319-362-3434",
"fax_number": "319-362-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IA",
"license": "02692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1076604",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.