Paul W Cronen Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01031070 Issued in IN

Practice address

1373 E State Road 62
Madison, IN 47250-7328

Phone

(812) 801-0840

Fax

(812) 801-0024

NPI assigned

Jul 6, 2006

Last updated

Feb 20, 2019By the provider in NPPES

Sex

Male

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 8

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Norton - Kings Daughters Health Inc

  dba Norton King's Daughters' Health

  • Family Medicine Physician
  • Madison, IN
  • NPI 1114955093

  Surgery

  Medicare reassignment NPD
• Norton - Kings Daughters Health Inc

  dba Kings Daughters Health

  • Clinical Medical Laboratory
  • Madison, IN
  • NPI 1497024426
  NPD
• Tristate Pathology and Forensic Services LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lawrenceburg, IN
  • NPI 1649720244
  NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1023049855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3395",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477323395",
            "telephone_number": "812-801-0840",
            "fax_number": "812-801-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E STATE ROAD 62",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0840",
            "fax_number": "812-801-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONEN",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01031070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT KY MEDICAID",
            "identifier": "1073896",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000042210",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64754906",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100148760A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "410005P",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020041436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2435129000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4370884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Evelynn Couch
• Melissa H Courtney, CNM
• William Timothy Courtney, BCBA
• Jennifer Kay Coy, COTA/L
• Hollie Crepin, PHARMD
• Kristina L Crooks
• Alan P Culbreth, M.D.
• David F Butler, DDS
• Joan Blackwood Davis, HSPP
• Tracie L Davis

• Surgery Physician in Madison, IN
• Providers in Madison, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.