Active NPI
Patrick Cronican, M.D.
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1063562056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18006
- Practice address
- 5014 L St
Omaha, NE 68117-1329 - Phone
- (402) 733-4433
- Fax
- (402) 733-1220
- NPI assigned
- Jan 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18006 | NE | Primary |
Addresses
Primary practice location
5014 L St
Omaha, NE 68117-1329
Mailing address
PO Box 642117
Omaha, NE 68164-8117
Phone (402) 717-4377
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1063562056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642117",
"city": "OMAHA",
"state": "NE",
"postal_code": "681648117",
"telephone_number": "402-717-4377",
"fax_number": "402-717-4317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5014 L ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681171329",
"telephone_number": "402-733-4433",
"fax_number": "402-733-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONICAN",
"first_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "18006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.