Active NPI
E Michael Kramer, MD
- Dermatopathology Physician
- Newtown Square, PA
National Provider Identifier
1891770517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- MD029957E
- Practice address
- 3805 W Chester Pike BLDG D
Suite 120
Newtown Square, PA 19073-2329 - Phone
- (800) 257-0117
- Fax
- (610) 550-3079
- NPI assigned
- Dec 15, 2005
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD029957E | PA | |
| Dermatopathology Physician | 207ND0900X | 35.094158 | OH | |
| Dermatopathology Physician | 207ND0900X | 25MA04525200 | NJ | |
| Dermatopathology Physician | 207ND0900X | 016658 | ME | |
| Dermatopathology Physician | 207ND0900X | 030390 | CT | |
| Dermatopathology Physician | 207ND0900X | 166213 | NY | |
| Dermatopathology Physician | 207ND0900X | 156056 | MA | |
| Dermatopathology Physician | 207ND0900X | 57861751205 | UT | |
| Dermatopathology Physician | 207ND0900X | C10007641 | DE | |
| Dermatopathology Physician | 207ND0900X | ME57881 | FL | |
| Dermatopathology Physician | 207ND0900X | MD029957E | PA | Primary |
| Dermatopathology Physician | 207ND0900X | D0062646 | MD |
Addresses
Primary practice location
3805 W Chester Pike BLDG D
Suite 120
Newtown Square, PA 19073-2329
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD029957E | PA | MD | Dermatology Physician |
| 030390 | CT | MD | Dermatopathology Physician |
| C10007641 | DE | MD | Dermatopathology Physician |
| 156056 | MA | MD | Dermatopathology Physician |
| D0062646 | MD | MD | Dermatopathology Physician |
| 016658 | ME | MD | Dermatopathology Physician |
| 25MA04525200 | NJ | MD | Dermatopathology Physician |
| 166213 | NY | MD | Dermatopathology Physician |
| 35.094158 | OH | MD | Dermatopathology Physician |
| 57861751205 | UT | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Txar 501a Corporation | Current | Accepting new patients | |
| Txar 501a Corporation | Current | Accepting new patients | |
| Tulsa Diagnostics PC | Past | Accepting new patients | |
| Ameripath Cincinnati Inc | Past | Accepting new patients | |
| Ameripath New York LLC | Past | Accepting new patients | |
| Ameripath Texas LP | Past | Accepting new patients | |
| Ameripath Lubbock 5.01(a) Corporation | Past | Accepting new patients | |
| Diagnostic Pathology Services, Inc. | Past | Accepting new patients | |
| Institute for Dermatopathology, Inc. | Past | Accepting new patients |
Locations
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Texarkana, TX
- NPI 1538130059
-
- Anatomic Pathology & Clinical Pathology Physician
- Texarkana, TX
- NPI 1669444717
-
- Clinical Medical Laboratory
- Flourtown, PA
- NPI 1093595829
-
dba Richfield Lab of Dermatopathology
- Clinical Medical Laboratory
- Cincinnati, OH
- NPI 1881666741
-
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
- NPI 1962508267
-
- Clinical Medical Laboratory
- Mount Kisco, NY
- NPI 1962223370
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1184851289
-
- Anatomic Pathology & Clinical Pathology Physician
- Oklahoma City, OK
- NPI 1528030897
-
- Anatomic Pathology & Clinical Pathology Physician
- Tulsa, OK
- NPI 1144292426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1891770517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 W CHESTER PIKE BLDG D",
"address_2": "SUITE 120",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732329",
"telephone_number": "800-257-0117",
"fax_number": "610-550-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "E",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD029957E",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "OH",
"license": "35.094158",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NJ",
"license": "25MA04525200",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "ME",
"license": "016658",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CT",
"license": "030390",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NY",
"license": "166213",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MA",
"license": "156056",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "UT",
"license": "57861751205",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "DE",
"license": "C10007641",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME57881",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "PA",
"license": "MD029957E",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MD",
"license": "D0062646",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.