Active NPI
Paul R Kramer, MD
- Gynecologic Oncology Physician
- Kingsport, TN
National Provider Identifier
1730143801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 42678
- Practice address
- 6 Sheridan SQ
Suite 100
Kingsport, TN 37660-7390 - Phone
- (423) 245-1040
- Fax
- (423) 245-1869
- NPI assigned
- Apr 14, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 2007-01507 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 2007-01507 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 42678 | TN | |
| Gynecologic Oncology Physician | 207VX0201X | 42678 | TN | Primary |
Addresses
Primary practice location
6 Sheridan SQ
Suite 100
Kingsport, TN 37660-7390
Mailing address
105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015174850001 | Medicaid | PA |
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 |
|---|---|---|---|
| 2007-01507 | NC | MD | Obstetrics & Gynecology Physician |
| 42678 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope a Womens Cancer Center, PA | Gynecologic Oncology | Past | Accepting new patients |
| The Milton S. Hershey Medical Center Physicians Group | Gynecologic Oncology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gynecologic Oncology Physician
- Asheville, NC
- NPI 1598714644
-
- Gynecologic Oncology Physician
- Hershey, PA
- NPI 1285609677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1730143801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "SUITE 6A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603365",
"telephone_number": "423-408-7220",
"fax_number": "423-408-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SHERIDAN SQ",
"address_2": "SUITE 100",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607390",
"telephone_number": "423-245-1040",
"fax_number": "423-245-1869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "PAUL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NC",
"license": "2007-01507",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2007-01507",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "42678",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TN",
"license": "42678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015174850001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.