Provider Demographics
NPI:1770707762
Name:RONALD P. CRAMER,D.O.,P.C.
Entity type:Organization
Organization Name:RONALD P. CRAMER,D.O.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMM. REGISTERED OFFICE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:P
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-227-2343
Mailing Address - Street 1:661 ORCHARD TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:NEW WILMINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16142-4217
Mailing Address - Country:US
Mailing Address - Phone:724-946-9705
Mailing Address - Fax:
Practice Address - Street 1:713 WOOD ST
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-1533
Practice Address - Country:US
Practice Address - Phone:814-227-2343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05007823L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1982532OtherBLUE SHIELD
PA2615411OtherAETNAHMO
PA05007823LOtherLICENSE
PA341721OtherHEALTH AMERICA/ASSURANCE
PA5164651OtherAETNANONHMO
PA054806OtherSELECT BLUE
PA1020347620001Medicaid
PADG3389OtherMEDICARE TRAVELERS
PADG3389OtherMEDICARE TRAVELERS
PA05007823LOtherLICENSE
PA2615411OtherAETNAHMO