Active NPI
Anne R Cramer, MD
- Plastic Surgery Physician
- Davenport, IA
National Provider Identifier
1902885056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 036108374
- Practice address
- 5335 Eastern Ave Ste C
Davenport, IA 52807-2788 - Phone
- (563) 323-0026
- Fax
- (563) 326-4280
- NPI assigned
- Jan 16, 2006
- Last updated
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 036108374 | IL | Primary |
Addresses
Primary practice location
5335 Eastern Ave Ste C
Davenport, IA 52807-2788
Mailing address
5335 Eastern Ave Ste C
Davenport, IA 52807-2788
Phone (563) 323-0026
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 |
|---|---|---|---|
| 036108374 | IL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacs PC | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1902885056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5335 EASTERN AVE STE C",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072788",
"telephone_number": "563-323-0026",
"fax_number": "563-326-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 EASTERN AVE STE C",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072788",
"telephone_number": "563-323-0026",
"fax_number": "563-326-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "ANNE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IL",
"license": "036108374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.