Podiatric Surgicenter
LBN: Jerald N Kramer Dpm Pc
Podiatric Surgicenter is an health care organization with primary practice located at 215 Clairemont Ave , Decatur GA 30030-2505. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Jerald N Kramer Dpm Pc can be contacted via phone (404) 373-2529, or through Kramer, Jerald N via phone (404) 373-2529.
Contact Information
Primary practice address
215 Clairemont Ave
Decatur GA 30030-2505
Phone: (404) 373-2529
Fax: (404) 373-1655
Website:
Authorized official contact:
Name: Kramer, Jerald N Doctor of Podiatric Medicine (DPM)
Phone: (404) 373-2529
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 044-074 | Georgia |
Profile Details
| NPI number | 1881879559 |
|---|---|
| LBN Legal business name | Jerald N Kramer Dpm Pc |
| DBA Doing business as | Podiatric Surgicenter |
| Authorized official | Kramer, Jerald N Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Jun 27th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881879559 | NPPES |
| Georgia | Other | 00561657A | MEDICAID PROVIDER NUMBER |
| Georgia | Other | 111050ASCA | MEDICAID PROVIDER NUMBER |
| Georgia | Other | 1881879559 | MEDICAID PROVIDER NUMBER |
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