Moriah Elaine Kramer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-10332 Issued in AR

Practice address

2101 Bluebird Dr
Springdale, AR 72764-5727

Phone

(479) 236-1089

NPI assigned

Apr 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1831532175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044531",
            "telephone_number": "479-236-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BLUEBIRD DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645727",
            "telephone_number": "479-236-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MORIAH",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-10332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Jo Komers, APRN
• Kelley Jean Koop, MHPP
• Theodore A Koprovic
• Patricia Anne Korehbandi, RN
• Sudheer Reddy Koyagura, M.D., MPH
• Walt Kramer
• Schuyler Ronan Kraus, DACM, DIPL. OM, L.AC
• Megan Michelle Kumpe, PNP
• Sasha Laine Kutz, APRN, NP-C
• Shealtiel Blu Kuykendall, LCSW

• Pediatrics Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.