MEDICARE: RALPH LEWIS KRAMER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101039409	VA
2	207V00000X	Obstetrics & Gynecology Physician	0101039409	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	282809	OTHER	VA	ANTHEM BCBS

General Provider Information

NPI Number	:	1235136920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH LEWIS KRAMER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1019
Second Line	:
City	:	STUART
State	:	VA
Zip	:	24171-1019
Country	:	US
Telephone Number	:	276-694-4466
Fax Number	:	276-694-2909

Provider Business Practice Location Address
First Line	:	18877 JEB STUART HWY
Second Line	:
City	:	STUART
State	:	VA
Zip	:	24171
Country	:	US
Telephone Number	:	276-694-4466
Fax Number	:	276-694-2909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/27/2012

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