Andrew Kramer (NPI# 1063498756, PAC ID# 1254235864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1063498756 |
| PAC ID by PECOS | 1254235864 |
| Professional Enrollment ID | I20070630000027 |
| Full Name | Andrew Kramer |
| Organization Legal Name | EASTSIDE GENERAL SURGERY LLC |
| Address |
98 Tara Commons Dr Loganville GA 30052-8031 |
| Phone Number | 7709727999 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4880799162 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 98 Tara Commons Dr, Loganville, GA 30052-8031 | 7709727999 | EASTSIDE GENERAL SURGERY LLC |
| 1600 Medical Way, Suite 220, Snellville, GA 30078-2160 | 4702234707 | EASTSIDE GENERAL SURGERY LLC |
| 1700 Medical Way, Snellville, GA 30078-2195 | 7709790200 | EASTSIDE GENERAL SURGERY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EASTSIDE GENERAL SURGERY LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vonda R Ware | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Janice H Pressley | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Brittany M Merritt | Obstetrics/gynecology | Eastside General Surgery LLC | 1800 Tree Ln, Suite 300, Snellville, GA 30078-6794 |
| Hisa Yamaguchi | General Surgery | Eastside General Surgery LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Peter C Mann | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Betsy G Weiss | Physician Assistant | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Carmen C Mcgee | Obstetrics/gynecology | Eastside General Surgery LLC | 1800 Tree Ln, Suite 300, Snellville, GA 30078-6794 |
| Katherine A Kennedy | Physician Assistant | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Street Address |
98 TARA COMMONS DR |
| City | LOGANVILLE |
| State | GA |
| Zip | 30052-8031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vonda R Ware | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Janice H Pressley | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Peter C Mann | Obstetrics/gynecology | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Betsy G Weiss | Physician Assistant | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Katherine A Kennedy | Physician Assistant | Eastside General Surgery LLC | 98 Tara Commons Dr, Loganville, GA 30052-8031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Z Mikrut | Internal Medicine | 902 Athens Hwy, Loganville, GA 30052 | |
| Germaine D Cummings | Family Medicine | 4480 Atlanta Hwy, Loganville, GA 30052 | |
| Harrison C Ojimma | Certified Registered Nurse Anesthetist (crna) | 367 Athens Hwy 100, Loganville, GA 30052-2207 | |
| Angelina Postoev | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Christopher Alade Ibikunle | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Angel F Farinas | General Surgery | Georgia Surgicare | 367 Athens Hwy, Bldg 100 Suite 100, Loganville, GA 30052-2207 |
| Christian X Cruz Pico | General Surgery | Georgia Surgicare | 367 Athens Hwy, Loganville, GA 30052-2207 |
| Jean Cadet | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
| Kenyatta Merriweather | Nurse Practitioner | Neuro Behavioral Health Associates, LLC | 367 Athens Hwy 1050, Loganville, GA 30052-2270 |
| Mandy Michelle Miller | Clinical Social Worker | 125 Lee Byrd Rd, Loganville, GA 30052-2310 | |
| Find all physicians in zip 30052 | |||
| City | LOGANVILLE |
| Zip Code | 30052 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LOGANVILLE + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.