Active NPI
Jaclyn Therese Cronin, D.O.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 008381
- Practice address
- 26224 N Tatum Blvd Ste 5
Phoenix, AZ 85050-7500 - Phone
- (480) 882-7580
- Fax
- (480) 563-7442
- NPI assigned
- Mar 28, 2017
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 008381 | AZ | Primary |
Addresses
Primary practice location
26224 N Tatum Blvd Ste 5
Phoenix, AZ 85050-7500
Mailing address
26224 N Tatum Blvd Ste 5
Phoenix, AZ 85050-7500
Phone (480) 882-7580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 675-3391
Hospital & facility affiliations
- Aspirus Wausau Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008381 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Honorhealth Ambulatory | Internal Medicine | Past | Accepting new patients |
Locations
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200
20330 N Cave Creek Rd
Ste 160
Phoenix, AZ 85024
Phone (602) 730-8443
19636 N 27th Ave
Ste 308
Phoenix, AZ 85027
Phone (623) 780-1999
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
26224 N Tatum Blvd
Ste 5
Phoenix, AZ 85050
Phone (480) 587-6775
18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900
8405 N Pima Center Pkwy
Ste 203
Scottsdale, AZ 85258
Phone (480) 587-6930
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460
450 E Rio Salado Pkwy
Bldg C
Tempe, AZ 85281
Phone (480) 882-7380
29980 Network Pl
Chicago, IL 60673
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
425 Wind Ridge Dr
Wausau, WI 54401
Phone (715) 675-3391
Organizations & group practices 10
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Pain Medicine (Anesthesiology) Physician
- Scottsdale, AZ
- NPI 1154660298
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1619469699
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
- Clinic/Center
- Wausau, WI
- NPI 1952921405
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Scottsdale, AZ
- NPI 1053881938
Internal Medicine
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1992237184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26224 N TATUM BLVD STE 5",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850507500",
"telephone_number": "480-882-7580",
"fax_number": "480-563-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26224 N TATUM BLVD STE 5",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850507500",
"telephone_number": "480-882-7580",
"fax_number": "480-563-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "JACLYN",
"middle_name": "THERESE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "008381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.