1548291982 NPI number — MELANIE KRAMER-HARRINGTON MD

Table of content: BETH SPANGENBERG TARKINGTON MD (NPI 1336126770)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548291982 NPI number — MELANIE KRAMER-HARRINGTON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRAMER-HARRINGTON
Provider First Name:
MELANIE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KRAMER
Provider Other First Name:
MELANIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1548291982
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4675 HILL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CASS CITY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48726-1008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-912-6185
Provider Business Mailing Address Fax Number:
989-872-4137

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5854 STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48741-9524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-683-8065
Provider Business Practice Location Address Fax Number:
989-683-8088
Provider Enumeration Date:
07/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207QA0401X , with the licence number:  4301079622 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: 4301079622 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4813889 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




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