NPIMap

Organization Active NPI

Elizabeth Kronlage DO LLC

  • Medical Specialty Clinic/Center
  • Tucson, AZ
National Provider Identifier
1700214970
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
5064 Issued in AZ
Legal business name
ELIZABETH KRONLAGE DO LLC
Practice address
48 N Tucson Blvd
#100
Tucson, AZ 85716-4757
Phone
(520) 822-8442
Fax
(520) 306-4937
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Elizabeth Kronlage, DO
Title
Owner
Phone
(520) 822-8442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 5064 AZ Primary

Addresses

Primary practice location

48 N Tucson Blvd
#100
Tucson, AZ 85716-4757

Mailing address

48 N Tucson Blvd
#100
Tucson, AZ 85716-4757
Phone (520) 822-8442

National Provider Directory

National Provider Directory

Locations

48 N Tucson Blvd
Ste 100
Tucson, AZ 85716
Phone (520) 390-1793

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1700214970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N TUCSON BLVD",
            "address_2": "#100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164757",
            "telephone_number": "520-822-8442",
            "fax_number": "520-306-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N TUCSON BLVD",
            "address_2": "#100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164757",
            "telephone_number": "520-822-8442",
            "fax_number": "520-306-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH KRONLAGE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "KRONLAGE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-822-8442",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "5064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.