DAVID C. CRONIN MD PHD NPI 1063496925

NPI Information

NPI: 1063496925
Provider Name: DAVID C. CRONIN, MD, PHD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7910 W JEFFERSON BLVD STE 200
FORT WAYNE, IN
ZIP 46804
Phone: (260) 435-6275
Get Directions

David C. Cronin, MD, PHD is a transplant surgery in Fort Wayne, IN. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee David C. Cronin, MD, PHD NPI is 1063496925. 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:

7910 W JEFFERSON BLVD STE 200
FORT WAYNE, IN
ZIP 46804-159
Phone: (260) 435-6275
Fax: (260) 435-6279

The NPI 1063496925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2005 and was last updated on 9/23/2020.

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	204F00000X	Transplant Surgery		01082638A	INDIANA	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
1	001419002	MEDICAID	CONNECTICUT
2	67155103	MEDICAID	COLORADO
3	1063496925	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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