Individual provider Active NPI

E Michael Kramer, MD

  • Dermatopathology Physician
  • Newtown Square, PA
National Provider Identifier
1891770517
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
MD029957E Issued in PA
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

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD029957EPAMDDermatology Physician
030390CTMDDermatopathology Physician
C10007641DEMDDermatopathology Physician
156056MAMDDermatopathology Physician
D0062646MDMDDermatopathology Physician
016658MEMDDermatopathology Physician
25MA04525200NJMDDermatopathology Physician
166213NYMDDermatopathology Physician
35.094158OHMDDermatopathology Physician
57861751205UTMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Txar 501a Corporation Current Accepting new patients
Txar 501a Corporation Current Accepting new patients
Tulsa Diagnostics PC PastSince Aug 1, 2011 Accepting new patients
Ameripath Cincinnati Inc PastSince Dec 2, 2011 Accepting new patients
Ameripath New York LLC PastSince Dec 29, 2014 Accepting new patients
Ameripath Texas LP PastSince Nov 8, 2011 Accepting new patients
Ameripath Lubbock 5.01(a) Corporation PastSince Oct 24, 2011 Accepting new patients
Diagnostic Pathology Services, Inc. PastSince May 1, 2012 Accepting new patients
Institute for Dermatopathology, Inc. PastSince Apr 8, 1997 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.

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.

Verify at the official NPI Registry.