Physician Compare National (NPI:1790794048)

HEALTHCARE PROVIDER: PAUL EDWARD KRAMER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1790794048
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971685694
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080201000454
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRAMER
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1098 SUNRISE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	ROSEVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956614469
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050309
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUTTER ROSEVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SUTTER MEDICAL CENTER, SACRAMENTO
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y