Provider Demographics
NPI:1275518987
Name:CREMER, STEVEN A (DO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:CREMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1456
Mailing Address - Country:US
Mailing Address - Phone:330-929-2694
Mailing Address - Fax:330-929-2782
Practice Address - Street 1:999 N MAIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1456
Practice Address - Country:US
Practice Address - Phone:330-929-2694
Practice Address - Fax:330-929-2782
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35055455208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0667658Medicaid
A16982Medicare UPIN
OH0667658Medicaid
4197005Medicare PIN