Jerald N Kramer DPM PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

044-074 Issued in GA

Legal business name

JERALD N KRAMER DPM PC

Practice address

215 Clairemont Ave
Decatur, GA 30030-2505

Phone

(404) 373-2529

Fax

(404) 373-1655

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerald N Kramer, DPM

Title

Medical Director

Phone

(404) 373-2529

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Podiatric SurgiCenter Doing business as

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1881879559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302505",
            "telephone_number": "404-373-2529",
            "fax_number": "404-373-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302505",
            "telephone_number": "404-373-2529",
            "fax_number": "404-373-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERALD N KRAMER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-373-2529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "044-074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "00561657A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "111050ASCA",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC  SURGICENTER",
            "identifier": "1881879559",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatric SurgiCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Home Care LLC
• Jenny Home Care LLC
• Philip Jeon, DDS
• Gee Hong Jeong, DMD
• Jerald N Kramer DPM PC
• Ben Wall Jernigan Jr., DMD
• Julius Lashame Jessup Peterson, LCSW
• Terrance L. Jeter, DMD
• Henry Jew, PHARMACIST
• Mindy B. Jewett, LCSW

• Ambulatory Surgical Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.