Frederick George Kroncke Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

16896 Issued in NC

Practice address

200 Nash Medical Arts Mall
Rocky Mount, NC 27804-1470

Phone

(252) 443-5941

Fax

(252) 443-7059

NPI assigned

Nov 17, 2005

Last updated

Dec 27, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1255313011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NASH MEDICAL ARTS MALL",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041470",
            "telephone_number": "252-443-5941",
            "fax_number": "252-443-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NASH MEDICAL ARTS MALL",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041470",
            "telephone_number": "252-443-5941",
            "fax_number": "252-443-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONCKE",
        "first_name": "FREDERICK",
        "middle_name": "GEORGE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "16896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950441",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kota Transport Service LLC
• Kota Transport Service, LLC.
• Ryan Joseph Kramer, MD
• Kathryn Anne Krauss, M.S. CCC-SLP
• Kroncke Wound Management PLLC
• KTC Transit Group, LLC
• Aubrey Kuester, DPT
• Kumar Internal Medicine Assoc. P.a.
• KW Business Enterprises (Clear 3D Imaging)
• Emelda Yaa Kwakye-Ackah, DDS

• Specialist in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.