Marilyn Kay Croghan, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

15650 Issued in AZ

Practice address

2625 N Craycroft Rd
Ste 100
Tucson, AZ 85712-2254

Phone

(520) 324-4214

Fax

(520) 324-2680

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: marilyn.croghan@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona State Radiology, PC

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1104877711
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1003885732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E RIVER RD",
            "address_2": "350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185999",
            "telephone_number": "520-519-7775",
            "fax_number": "520-519-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N CRAYCROFT RD",
            "address_2": "STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122254",
            "telephone_number": "520-324-4214",
            "fax_number": "520-324-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROGHAN",
        "first_name": "MARILYN",
        "middle_name": "KAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "15650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279316",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Cristofono, COTA/L
• Gael Crocker
• Lesly Crockett
• Tiffany L Crockett, LMT
• Logan Sage Croft, LPC
• Austin Cromer
• Brennan Chad Cronquist
• Colleen M. Crook, OTR/L
• Pamela Crooke, PHD
• Alan Frederick Crosby, MD

• Radiation Oncology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Radiation Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.