Active NPI
Henry Cramer, M.D.
- Otolaryngology Physician
- Port Matilda, PA
National Provider Identifier
1801802061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD456768
- Practice address
- 132 Abigail Lane
Port Matilda, PA 16870-5700 - Phone
- (814) 272-5011
- Fax
- (814) 272-6531
- NPI assigned
- Jul 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G62618 | CA | |
| Otolaryngology Physician | 207Y00000X | MD456768 | PA | Primary |
Addresses
Primary practice location
132 Abigail Lane
Port Matilda, PA 16870-5700
Mailing address
100 North Academy Ave.
Danville, PA 17822-4903
Phone (570) 271-6144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G626180 | Medicaid | CA | |
| 00G626180 | Other | CA | BLUE SHIELD |
| 040016640 | Other | CA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hcramer134287@direct.geisinger.edu | Direct |
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 |
|---|---|---|---|
| G62618 | CA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1801802061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NORTH ACADEMY AVE.",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 ABIGAIL LANE",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168705700",
"telephone_number": "814-272-5011",
"fax_number": "814-272-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "HENRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G62618",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD456768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G626180",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G626180",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040016640",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hcramer134287@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "132 Abigail Lane",
"city": "Port Matilda",
"state": "PA",
"country_code": "US",
"postal_code": "168705700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Matilda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.