1568645349 NPI number — ELLIOTT J KRAMER DPM

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568645349 NPI number — ELLIOTT J KRAMER DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELLIOTT J KRAMER DPM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568645349
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
355 5TH AVE STE 830
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15222-2410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-281-8975
Provider Business Mailing Address Fax Number:
412-281-5453

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
355 5TH AVE STE 830
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15222-2410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-281-8975
Provider Business Practice Location Address Fax Number:
412-281-5453
Provider Enumeration Date:
12/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KRAMER
Authorized Official First Name:
ELLIOTT
Authorized Official Middle Name:
J
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
412-281-8975

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  SC001428L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00504007001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00211896 . This is a "PALMATTO RR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 103664 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com