MEDICARE: DR. THOMAS D. KRAMER JR. MD

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	207P00000X	Emergency Medicine Physician	54913	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00175563	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417939109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS D. KRAMER JR. MD

Provider Business Mailing Address
First Line	:	19427 ARGYLE OVAL
Second Line	:
City	:	ROCKY RIVER
State	:	OH
Zip	:	44116-1661
Country	:	US
Telephone Number	:	216-704-7090
Fax Number	:

Provider Business Practice Location Address
First Line	:	33100 CLEVELAND CLINIC BLVD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-1390
Country	:	US
Telephone Number	:	440-695-4650
Fax Number	:

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

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	04/22/2015

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