Active NPI
Fredrick Michael Cramer, M.D.
- Pediatric Pathology Physician
- Sierra Vista, AZ
National Provider Identifier
1679774137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pathology Physician
- License
- 33439
- Practice address
- 155 Calle Portal
Suite 150
Sierra Vista, AZ 85635-2900 - Phone
- (520) 226-5557
- NPI assigned
- May 30, 2007
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 33439 | AZ | |
| Cytopathology Physician | 207ZC0500X | 33439 | AZ | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 33439 | AZ | |
| Forensic Pathology Physician | 207ZF0201X | 33439 | AZ | |
| Hematology (Pathology) Physician | 207ZH0000X | 33439 | AZ | |
| Immunopathology Physician | 207ZI0100X | 33439 | AZ | |
| Medical Microbiology Physician | 207ZM0300X | 33439 | AZ | |
| Neuropathology Physician | 207ZN0500X | 33439 | AZ | |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | 33439 | AZ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 33439 | AZ | |
| Chemical Pathology Physician | 207ZP0104X | 33439 | AZ | |
| Pediatric Pathology Physician | 207ZP0213X | 33439 | AZ | Primary |
Addresses
Primary practice location
155 Calle Portal
Suite 150
Sierra Vista, AZ 85635-2900
Mailing address
2160 E Fry Blvd # 321
Sierra Vista, AZ 85635-2736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103163 | Other | AZ | PIN |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33439 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679774137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 E FRY BLVD # 321",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL",
"address_2": "SUITE 150",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352900",
"telephone_number": "520-226-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "FREDRICK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZM0300X",
"taxonomy_group": "",
"desc": "Pathology, Medical Microbiology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "AZ",
"license": "33439",
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "AZ",
"license": "33439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "103163",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.