DAVID C. CRONIN II (NPI# 1063496925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063496925 |
| Entity Type | Individual |
| Full Name | DAVID C. CRONIN II |
| Credential | MD, PHD |
| Practice Address |
7910 W Jefferson Blvd Ste 200 Fort Wayne IN 46804-4159 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 2604356275 |
| Practice Fax Number | 2604356279 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 01082638A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001419002 | 05 | |
| CO | 67155103 | 05 | |
| WI | 1063496925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730429747 | David Briscoe Cronin | Physical Therapist | 104 Briarwood Rd, Fitzgerald, GA 31750-6507 | 2013-02-28 |
| Street Address |
7910 W JEFFERSON BLVD STE 200 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881075059 | Deborah A. Gill-henry | Nurse Practitioner | 7910 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4159 | 2015-06-14 |
| 1083038558 | Ahmad Safra | Transplant Surgery | 7910 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4159 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083038558 | Ahmad Safra | Transplant Surgery | 7910 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4159 | 2014-02-05 |
| 1053471250 | Anthony M Savo | Transplant Surgery | 11123 Parkview Plaza Dr Ste 201, Fort Wayne, IN 46845-1707 | 2006-12-11 |
| 1255415352 | Aydin T. Kizilisik | Transplant Surgery | 7910 W Jefferson Blvd, Suite 200, Fort Wayne, IN 46804-4159 | 2006-10-25 |
| 1366433476 | Allied Physicians Inc | Transplant Surgery | 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804-4159 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528451754 | Plamen Mihaylov | Transplant Surgery | 322 Canal Walk, Indianapolis, IN 46202-3278 | 2015-03-12 |
| 1760777056 | Adam Stephen Alexander Gracon | Transplant Surgery | 7411 Bramblewood Ln, Indianapolis, IN 46254-9716 | 2011-06-14 |
| 1205069762 | Mahesh C Goel | Transplant Surgery | 13502 Flintridge Pass, Carmel, IN 46033-9588 | 2009-09-01 |
| 1447488143 | Gerry Polyhronopoulos | Transplant Surgery | 550 University Blvd # Uh4601, Indianapolis, IN 46202-5149 | 2009-07-01 |
| 1821276916 | Alexandra P Turner | Transplant Surgery | 1704 Lafayette Rd Ste 2, Crawfordsville, IN 47933-1071 | 2008-01-31 |
| 1942211313 | Mark D Pescovitz X | Transplant Surgery | 550 University Blvd. #uh 4601, Indianapolis, IN 46202 | 2006-08-11 |
| 1881126092 | Aaron Kaviani | Transplant Surgery | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2017-03-28 |
| 1114271483 | Ahmed Mohammed Ibrahim Elsabbagh | Transplant Surgery | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2012-11-07 |
| 1326394511 | Burcin Ekser | Transplant Surgery | 550 University Blvd, Indianapolis, IN 46202-5149 | 2012-07-25 |
| 1093011793 | Mcgol Associates | Transplant Surgery | 2160 W 86th St, Indianapolis, IN 46260-1907 | 2011-01-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on DAVID C. CRONIN II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.