David C Cronin Ii, MD, PHD | |
3 Riverside Cir, Roanoke, VA 24016-4955 | |
(540) 981-7000 | |
Not Available |
Full Name | David C Cronin Ii |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 3 Riverside Cir, Roanoke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063496925 | NPI | - | NPPES |
001419002 | Medicaid | CT | |
1063496925 | Medicaid | WI | |
67155103 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101271908 (Virginia) | Primary |
204F00000X | Transplant Surgery | 01082638A (Indiana) | Secondary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Watertown Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
Mailing Address | Practice Location Address |
---|---|
David C Cronin Ii, MD, PHD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5353 | David C Cronin Ii, MD, PHD 3 Riverside Cir, Roanoke, VA 24016-4955 Ph: (540) 981-7000 |
Kirshan K Tayal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7544 | |
Dr. Guy Katz, MD Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Mark Edward Hamill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7434 Fax: 540-981-8681 | |
Heather Lynn Geist, MD Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Roxanne Davenport, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Circle, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
John Stephen Rudderow, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 972-978-8758 | |
Jessica Grace Wright, Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 |