Organization Active NPI

L.F.Kroner III MD PC

  • Orthopaedic Surgery Physician
  • Jackson, WY
National Provider Identifier
1578892972
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3152A Issued in WY
Legal business name
L.F.KRONER III MD PC
Practice address
3950 Trail Dr
Jackson, WY 83001-9287
Phone
(307) 690-0865
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ludwig F Kroner III, MD
Title
Owner
Phone
(307) 382-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 3152A WY Primary

Addresses

Primary practice location

3950 Trail Dr
Jackson, WY 83001-9287

Mailing address

3950 South Trail Drive
Jackson, WY 83002
Phone (307) 690-0865

Other identifiers 2

IdentifierTypeStateIssuer
0262740001OtherWYMEDICARE DMC
123181200MedicaidWY

National Provider Directory

National Provider Directory

Locations

1204 Hilltop Dr
Ste 102
Rock Springs, WY 82901
Phone (307) 382-5646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1578892972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SOUTH TRAIL DRIVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83002",
            "telephone_number": "307-690-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 TRAIL DR",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830019287",
            "telephone_number": "307-690-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.F.KRONER III MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "KRONER",
        "authorized_official_first_name": "LUDWIG",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-382-5646",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WY",
            "license": "3152A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMC",
            "identifier": "0262740001",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123181200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.