| 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 |
|---|---|
| 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: Accepting Medicare Assignments 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 | |
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: Not Enrolled in Medicare Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Dr. Paul Raymond Tompkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5709 Longridge Cir, Roanoke, VA 24018 Phone: 706-231-1570 |