Active NPI
Randall Courtney Cronin Jr., M.D.
- Family Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1063427862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD042941-L
- Practice address
- 816 Middle St
Pittsburgh, PA 15212-4915 - Phone
- (412) 321-4001
- Fax
- (412) 321-4001
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD042941-L | PA | Primary |
| Family Medicine Physician | 207Q00000X | D0024824 | MD |
Addresses
Primary practice location
816 Middle St
Pittsburgh, PA 15212-4915
Mailing address
816 Middle St
Pittsburgh, PA 15212-4915
Phone (412) 321-4001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401662900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042941-L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1063427862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 MIDDLE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124915",
"telephone_number": "412-321-4001",
"fax_number": "412-321-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 MIDDLE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124915",
"telephone_number": "412-321-4001",
"fax_number": "412-321-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "RANDALL",
"middle_name": "COURTNEY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD042941-L",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0024824",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401662900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.