Active NPI
Ronni C Chrzanowski, MD
- Pediatrics Physician
- Wickenburg, AZ
National Provider Identifier
1881673242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11446
- Practice address
- 519 Rose LN
Wickenburg, AZ 85390-1448 - Phone
- (928) 668-1846
- NPI assigned
- Jan 13, 2006
- Last updated
- Aug 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11446 | AZ | Primary |
Addresses
Primary practice location
519 Rose LN
Wickenburg, AZ 85390-1448
Mailing address
519 Rose LN
Wickenburg, AZ 85390-1448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212374 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11446 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1881673242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 ROSE LN",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853901448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 ROSE LN",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853901448",
"telephone_number": "928-668-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRZANOWSKI",
"first_name": "RONNI",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "11446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212374",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wickenburg, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.