Active NPI
David R Kroner, MD
- Surgery Physician
- Lebanon, NH
National Provider Identifier
1154318673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 7173
- Practice address
- 17 Alice Peck Day Dr Unit a
Lebanon, NH 03766-2684 - Phone
- (603) 443-9572
- Fax
- (603) 443-9521
- NPI assigned
- Sep 30, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 7173 | NH | Primary |
Addresses
Primary practice location
17 Alice Peck Day Dr Unit a
Lebanon, NH 03766-2684
Mailing address
10 Alice Peck Day Dr
Lebanon, NH 03766-2694
Phone (603) 448-3121
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30204712 | Medicaid | NH | |
| BCBS VT | Other | VT | 00001358 |
| 8952620 | Other | NH | CIGNA |
| AA56755 | Other | NH | HARVARD PRILGRIM |
| 1001392 | Medicaid | VT | |
| 0101358Y0NH03 | Other | NH | ANTHEM |
| 020005 | Other | NH | MVP |
| B85960 | Other | NH | ANTHEM |
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 |
|---|---|---|---|
| 7173 | NH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Peck Day Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1003803495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1154318673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ALICE PECK DAY DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662694",
"telephone_number": "603-448-3121",
"fax_number": "603-448-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ALICE PECK DAY DR UNIT A",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662684",
"telephone_number": "603-443-9572",
"fax_number": "603-443-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONER",
"first_name": "DAVID",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "7173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30204712",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "00001358",
"identifier": "BCBS VT",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8952620",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PRILGRIM",
"identifier": "AA56755",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001392",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0101358Y0NH03",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "020005",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "B85960",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.