Charles P Kronenthal Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9104143 Issued in FL

Practice address

6279 N Lecanto Hwy
Beverly Hills, FL 34465-2503

Phone

(352) 522-0094

Fax

(352) 522-0098

NPI assigned

Mar 17, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Access Healthcare LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1912949561
  NPD (past)
• Early Memorial Hospital

  • Critical Access Hospital
  • Blakely, GA
  • NPI 1548214018
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1326017757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR STE 305",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6279 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652503",
            "telephone_number": "352-522-0094",
            "fax_number": "352-522-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENTHAL",
        "first_name": "CHARLES",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9104143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000694000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE",
            "identifier": "59-3682760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Kayla Rivera
• Andrew Klansky, PA-C
• Natasha M. Kline, PA
• Julie Elizabeth Krinsky, APRN
• Nisha Bala Krishnan, DPM
• Mariananda P Kumar, MD
• Swarooparani P Kumar, ARNP
• Nicholas Labarge
• Erika Ann Lazaro
• Judith Ann Lewis, LMT,MMP

• Physician Assistant in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.