Provider Demographics
NPI:1356314538
Name:CRAMER, JOHN D (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:CRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LEE ST FL 3
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-924-5348
Practice Address - Fax:434-243-7310
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235732208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10000787OtherOPTIMA
VA1652740OtherCIGNA
VA010208092OtherVA PREMIER
VA010208092Medicaid
VA313990OtherSOUTHERN HEALTH
VA5649286OtherFIRST HEALTH
VA183346OtherANTHEM
VA1652740OtherCIGNA
VAH57564Medicare UPIN
VA010208092Medicaid
VA009146A75Medicare PIN
VA010208092OtherVA PREMIER