Individual provider Active NPI

Edward Lovett Kramer, DO

  • Neurology Physician
  • Hot Springs, AR
National Provider Identifier
1992749329
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E-10819 Issued in AR
Practice address
1 Mercy LN Ste 505
Hot Springs, AR 71913-6462
Phone
(501) 623-2781
Fax
(501) 623-2405
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J7038 TX
Physical Medicine & Rehabilitation Physician 208100000X J7038 TX
Neurology Physician 2084N0400X E-10819 AR Primary

Addresses

Primary practice location

1 Mercy LN Ste 505
Hot Springs, AR 71913-6462

Mailing address

4916 Camp Bowie Blvd
108
Fort Worth, TX 76107-4196
Phone (817) 731-4070

Other identifiers 2

IdentifierTypeStateIssuer
113719204MedicaidTX
8U7183OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218002198 AR Practitioner - Neurology 9234182627 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-10819ARMDNeurology Physician
J7038TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Physical Medicine & Rehabilitation CurrentSince Jul 22, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 22, 2019 Accepting new patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Apr 13, 2020 Accepting new patients
Physicians and Allied Health Professionals Group, PA Physical Medicine & Rehabilitation Past Accepting new patients

Locations

1 Mercy Ln
Ste 505
Hot Springs, AR 71913
Phone (501) 623-0280

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

1 Mercy Ln
Ste 502
Hot Springs National Park, AR 71913
Phone (501) 321-1329

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

Organizations & group practices 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1992749329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 CAMP BOWIE BLVD",
            "address_2": "108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074196",
            "telephone_number": "817-731-4070",
            "fax_number": "817-731-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN STE 505",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136462",
            "telephone_number": "501-623-2781",
            "fax_number": "501-623-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "EDWARD",
        "middle_name": "LOVETT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J7038",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J7038",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-10819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113719204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U7183",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.