Provider Demographics
NPI:1801987383
Name:KRAMER, WAYNE B (MD)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:B
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15005 SHADY GROVE RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6340
Mailing Address - Country:US
Mailing Address - Phone:301-251-8611
Mailing Address - Fax:301-251-8779
Practice Address - Street 1:15005 SHADY GROVE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6340
Practice Address - Country:US
Practice Address - Phone:301-251-8611
Practice Address - Fax:301-251-8779
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0050638207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD517750261Medicaid
MD496620OtherUNITED HEALTHCARE
MD0706806OtherAMERICHOICE
MD1490226OtherFIRST HEALTH/COVENTRY
MD221489OtherKAISER
MD011548OtherPRIOPRITY PARTNER (JOHN HOPKINS HEALTH PLAN)
DC0001OtherBCBS NCA
MD1385365OtherCIGNA
MD501487OtherNCPPO
MD543735OtherBCBS MARYLAND
MD7485755OtherAETNA
MDF02401Medicare UPIN