Provider Demographics
NPI:1659325900
Name:KRAMER, JAMES W (MD, FACS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 NORTH 12TH ST.
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-1101
Mailing Address - Country:US
Mailing Address - Phone:610-377-0990
Mailing Address - Fax:610-377-2099
Practice Address - Street 1:3601 SW 160TH AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-6308
Practice Address - Country:US
Practice Address - Phone:877-866-7123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD060520L208600000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017428630003Medicaid
PA001742863Medicaid
PA001742863Medicaid
PA0017428630003Medicaid
PA023817Medicare ID - Type Unspecified