Individual provider Active NPI

Stephen Scott Kramarich, MD

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1851398267
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME83572 Issued in FL
Practice address
2349 Village Square Park Way
Suite 107
Jacksonville, FL 32003
Phone
(904) 389-1010
Fax
(904) 389-1082
NPI assigned
Jun 30, 2005
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME83572 FL
Interventional Pain Medicine Physician 208VP0014X ME83572 FL Primary

Addresses

Primary practice location

2349 Village Square Park Way
Suite 107
Jacksonville, FL 32003

Mailing address

7207 Golden Wings Road
Jacksonville, FL 32244
Phone (904) 389-1010

Other identifiers 5

IdentifierTypeStateIssuer
05234OtherFLBLUE CROSS BLUE SHIELD
217227OtherFLHEALTHEASE
3051620OtherFLAETNA
0278982001OtherFLCIGNA
263018400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091231000504 FL Practitioner - Interventional Pain ManagementPractitioner - Pain Management 6800789793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Cincinnati College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Partners PAGroup PAC ID 5193780195, 5 clinicians

Practice addresses (Care Compare)

4085 University Blvd S
Suite 3
Jacksonville, FL 32216-4362
Phone (904) 448-4174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Partners, PA CurrentSince Aug 15, 2022 Accepting new patients

Locations

4085 University Blvd S
Ste 3
Jacksonville, FL 32216
Phone (904) 448-4174

Interoperability endpoints

  • Direct secure messaging: stephen.kramarich.1@25110.direct.athenahealth.com
  • Direct secure messaging: stephen.kramarich.p1@direct.riversidepain.nextgenshare.com
  • Direct secure messaging: stephen.kramarich@724.securemail.prognocis.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1851398267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 GOLDEN WINGS ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32244",
            "telephone_number": "904-389-1010",
            "fax_number": "904-389-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 VILLAGE SQUARE PARK WAY",
            "address_2": "SUITE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-389-1010",
            "fax_number": "904-389-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMARICH",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME83572",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME83572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05234",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "217227",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3051620",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0278982001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263018400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.