Provider Demographics
NPI:1689779340
Name:KRAMER, NAOMI RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:RUTH
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W EXCHANGE ST
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-1004
Mailing Address - Country:US
Mailing Address - Phone:401-274-5716
Mailing Address - Fax:401-272-2646
Practice Address - Street 1:220 W EXCHANGE ST
Practice Address - Street 2:SUITE 100A
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-1004
Practice Address - Country:US
Practice Address - Phone:401-274-5716
Practice Address - Fax:401-272-2646
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI7878207R00000X, 207RC0200X, 207RS0012X
RIMD7878207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI007009697Medicaid
RIE88746Medicare UPIN
RI007009697Medicaid