Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101039315 | VA |
NPI | 1013976869 |
---|---|
Provider Name | Dr. Stuart J Kramer |
First Address | Danville, VA 24541-1222 |
Second Address | Danville, VA 24541-4155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006458092 | (05) | VA |
031427 | ANTHEM BC OF VIRGINIA (01) | VA |
034487 | ANTHEM BC OF VA GROUP# (01) | VA |
200000174 | MEDICARE INDIVIDUAL NO (01) | VA |
200010325 | RAILROAD MEDICARE (01) | VA |
B59614 | (02) | VA |