David J Chronley, M.D.
Individual provider Active NPI Pediatrics Physician · Wakefield, RI
NPI 1063597151 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063597151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 04859 (RI)
- Practice address
- 4979 Tower Hill Rd
Wakefield, RI 02879-2283 - Phone
- (401) 789-6492
- Fax
- (401) 789-5524
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04859 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Pediatric Group, Inc. | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04859 | RI | Yes |
Addresses
Primary practice location
4979 Tower Hill Rd
Wakefield, RI 02879-2283
Mailing address
4979 Tower Hill Rd
Wakefield, RI 02879-2283
Phone (401) 789-6492
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404211 | Other | RI | TUFTS |
| 12-00102 | Other | RI | UNITED HEALTHCARE |
| 1694 | Other | RI | BLUE CROSS/BLUE SHIELD |
| 000460 | Other | RI | BC/BS BLUE CHIP |
| DC02277 | Medicaid | RI |
Other providers in Wakefield, RI
- Charbonneau Dental, LTD
- Gaetan Donald Charbonneau
- Nicholas Charbonneau
- Robert K. Chinn
- Heena Elizabeth Choi
- Brian D Cilley
- Nicole Leslie Cipriani-Fox
- Mary Clair-Michaud
- Cory Clark
- Patricia R Clark
All providers in Wakefield, RI · Pediatrics Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.