DANIEL ROBERT CRONK MD NPI 1639101009

NPI Information

NPI: 1639101009
Provider Name: DANIEL ROBERT CRONK, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
820 N ALPHA ST
GRAND ISLAND, NE
ZIP 68803
Phone: (308) 384-7200
Get Directions

Daniel Robert Cronk, MD is a vascular surgery surgery in Grand Island, NE. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Daniel Robert Cronk, MD NPI is 1639101009. 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:

820 N ALPHA ST
GRAND ISLAND, NE
ZIP 68803-320
Phone: (308) 384-7200
Fax: (308) 384-7378

The enumeration date for this NPI number is 7/7/2006 and was last updated on 6/8/2010.

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	208600000X	Surgery		12658	NEBRASKA	No
2	2086S0129X	Surgery	Vascular Surgery	12658	NEBRASKA	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	31889	OTHER		BLUE CROSS BLUE SHIELD NEBRASKA
2	508060434	MEDICAID	NEBRASKA
3	E07858	MEDICARE UPIN	NEBRASKA
4	098834SU	MEDICARE PIN
5	020041733	OTHER	NEBRASKA	RAILROAD MEDICARE

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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