BRIAN CRONK (NPI# 1760583785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760583785 |
Entity Type | Individual |
Full Name | BRIAN CRONK |
Credential | PA-C |
Practice Address |
3702 S Timberline Rd Fort Collins CO 80525-3624 |
Practice Telephone | 9702079773 |
Practice Fax Number | 9702071893 |
Mailing Telephone | 9702079773 |
Mailing Fax Number | 9702071893 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2019-04-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
643 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 002402359 | 05 |
Street Address |
3702 S TIMBERLINE RD |
City | FORT COLLINS |
State | CO |
Zip Code | 80525-3624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225134018 | Rodney R Holland | Internal Medicine | 3702 S Timberline Rd, Fort Collins, CO 80525-3624 | 2006-09-16 |
1669893699 | Tara Jewell | Nurse Practitioner | 3702 S Timberline Rd, Bldg A, Fort Collins, CO 80525-3624 | 2013-12-17 |
1154597979 | Daniel Hampton | Internal Medicine | 3702 S Timberline Rd, Bldg A, Fort Collins, CO 80525-3624 | 2008-05-01 |
1366615056 | Nicole Allison Kershner | Internal Medicine | 3702 S Timberline Rd, Building A, Fort Collins, CO 80525-3624 | 2008-04-02 |
1801994157 | Centers for Gastroenterology | Internal Medicine | 3702 S Timberline Rd, Fort Collins, CO 80525-3624 | 2006-09-20 |
1265538078 | Rand F Compton | Internal Medicine | 3702 S Timberline Rd, Fort Collins, CO 80525-3624 | 2006-09-16 |
1023114832 | Robert A Simmons | Internal Medicine | 3702 S Timberline Rd, Fort Collins, CO 80525-3624 | 2006-09-16 |
1508962325 | Rebecca C Dunphy | Internal Medicine | 3702 S Timberline Rd, Fort Collins, CO 80525-3624 | 2006-09-16 |
1306942180 | Hugh P Mc Elwee | Internal Medicine | 3702 S Timberline Rd, Fort Collins, CO 80525-3624 | 2006-09-16 |
1992801781 | Mark N Durkan | Internal Medicine | 3702 S Timberline Rd, Fort Collins, CO 80525-3624 | 2006-09-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
Find all providers in zip 80525 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
1194121657 | Jennifer V Abraham | Physician Assistant | 3433 Warren Farm Dr, Fort Collins, CO 80526-6344 | 2014-11-11 |
1730231770 | Amy L Becker | Physician Assistant | 2315 E Harmony Rd Ste 160, Fort Collins, CO 80528-8620 | 2007-01-18 |
1417043837 | Adam Richard Musgrave | Physician Assistant | 2627 Redwing Rd Ste 220, Fort Collins, CO 80526-6331 | 2006-10-04 |
1356811160 | Kristin J. Leinhart | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2018-12-05 |
1124570601 | Alexandra M Skogen | Physician Assistant | 4674 Snow Mesa Dr, Ste 140, Fort Collins, CO 80528-8615 | 2016-10-31 |
1184174807 | David Messinger | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2016-10-05 |
1477955870 | Suzette Denise Vandivier | Physician Assistant | 1124 E Elizabeth St, Fort Collins, CO 80524-4052 | 2014-09-17 |
1396096525 | Elizabeth A Metz | Physician Assistant | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2012-09-27 |
1912295296 | Amanda Benedict | Physician Assistant | 1200 E Elizabeth St, Fort Collins, CO 80524-4007 | 2011-07-20 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80525 |
Please comment or provide details below to improve the information on BRIAN CRONK.
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.