DR. MICHAEL AMBROSE CRONKLETON M.D. NPI 1811957590

NPI Information

NPI: 1811957590
Provider Name: DR. MICHAEL AMBROSE CRONKLETON, M.D.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Address:
1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 421-1000
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DR. Michael Ambrose Cronkleton, M.D. is an emergency medical services emergency medicine in Davenport, IA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Michael Ambrose Cronkleton, M.D. NPI is 1811957590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803-459
Phone: (563) 421-1000

The enumeration date for this NPI number is 3/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	22401	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1195909-0215	MEDICAID	IOWA
2	AO 2016	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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