Active NPI
Stephen Scott Kramarich, MD
- Interventional Pain Medicine Physician
- Jacksonville, FL
National Provider Identifier
1851398267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME83572
- 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, 2017
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05234 | Other | FL | BLUE CROSS BLUE SHIELD |
| 217227 | Other | FL | HEALTHEASE |
| 3051620 | Other | FL | AETNA |
| 0278982001 | Other | FL | CIGNA |
| 263018400 | Medicaid | FL |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Partners, PA | Current | Accepting new patients |
Locations
4085 University Blvd S
Ste 3
Jacksonville, FL 32216
Phone (904) 448-4174
Interoperability endpoints
- stephen.kramarich.1@25110.direct.athenahealth.com
- stephen.kramarich.p1@direct.riversidepain.nextgenshare.com
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.