Active NPI
L.F.Kroner III MD PC
- Orthopaedic Surgery Physician
- Jackson, WY
National Provider Identifier
1578892972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 3152A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0262740001 | Other | WY | MEDICARE DMC |
| 123181200 | Medicaid | WY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Lander, WY
- NPI 1750472403
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.