Justin Cramer MD, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

LC001509624 Issued in MO

Legal business name

JUSTIN CRAMER MD, LLC

Doing business as

Cramer Family Clinic

Practice address

1309 W Fairgrounds Rd Ste B
Marshall, MO 65340-4884

Phone

(660) 815-4184

Fax

(866) 691-6075

NPI assigned

Oct 16, 2016

Last updated

Jul 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Cramer, M.D.

Title

President

Phone

(660) 815-4184

Specialties & licenses 1

Addresses

Other names 1

• Cramer Family Clinic Doing business as

Locations

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

{
    "created_epoch": "1476576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1811448764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CYPRESS DR",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403707",
            "telephone_number": "660-815-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W FAIRGROUNDS RD STE B",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653404884",
            "telephone_number": "660-815-4184",
            "fax_number": "866-691-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN CRAMER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-16",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-815-4184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "LC001509624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cramer Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cramer Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Marshall, MO
• Providers in Marshall, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.