DR. JAMES CLINTON CRONAN JR. (NPI# 1871688317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871688317 |
| Entity Type | Individual |
| Full Name | DR. JAMES CLINTON CRONAN JR. |
| Credential | M.D. |
| Practice Address |
3400 Mcclure Bridge Rd Building B201 Duluth GA 30096-6675 |
| Practice Telephone | 6789578801 |
| Practice Fax Number | 6789578804 |
| Mailing Telephone | 6789578801 |
| Mailing Fax Number | 6789578804 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | G86208 | CA | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 28757 | GA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 028757 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | N534531 | 01 |
| NE | 470376583-24 | 05 | |
| GA | BCBS | 1871688317 | 01 |
| GA | 308535506A | 05 |
| Street Address |
3400 MCCLURE BRIDGE RD BUILDING B201 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-6675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903485 | Philip R Kennedy | Psychiatry & Neurology | 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 | 2005-06-21 |
| 1063860740 | Alpha Recovery Group Inc | Health Maintenance Organization | 3400 Mcclure Bridge Rd, Building C, Suit A&b, Duluth, GA 30096-6675 | 2016-06-02 |
| 1679960884 | Allys Sernior Services, Inc. | Health Maintenance Organization | 3400 Mcclure Bridge Rd, Building C-301, Duluth, GA 30096-6675 | 2015-04-26 |
| 1972889491 | Hand To Shoulder Therapy Specialists of Duluth | Occupational Therapist | 3400 Mcclure Bridge Rd, F601, Duluth, GA 30096-6675 | 2011-10-28 |
| 1154586667 | Mbs Connection LLC | Clinic/Center | 3400 Mcclure Bridge Rd, Bldg F, Ste A, Duluth, GA 30096-6675 | 2008-07-24 |
| 1164614608 | Community Neurological Clinic | Specialist | 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 | 2007-08-17 |
| 1285793372 | Glen C Mcintosh | Dentist | 3400 Mcclure Bridge Rd, Building G, Suite B, Duluth, GA 30096-6675 | 2006-12-06 |
| 1902818032 | Michelle Morante | Physician Assistant | 3400 Mcclure Bridge Rd, Building B, Duluth, GA 30096-6675 | 2006-08-13 |
| 1578574455 | Choice Chiropractic and Wellness, Inc. | Chiropractor | 3400 Mcclure Bridge Rd, Building B, Suite C, Duluth, GA 30096-6675 | 2006-08-10 |
| 1417977885 | Surgical Assistants of America, Inc. | Physician Assistant | 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096-6675 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072025 | Erjia Bao | Surgery | 11205 Abbotts Walk Dr, Duluth, GA 30097-8457 | 2017-06-07 |
| 1861733495 | Karen Warlaw | Surgery | 3936 Carriage Gate Dr, Duluth, GA 30096-2785 | 2013-03-06 |
| 1659497907 | Jerry Curtis Tootle | Surgery | 2655 Gadsen Walk, Duluth, GA 30097-4351 | 2007-03-21 |
| 1083668784 | St. Luke's Hospital of Duluth | Surgery | 920 E 1st St Ste 302, Duluth, MN 55805 | 2006-05-19 |
| 1417227661 | Michael Paul Stellmaker | Surgery | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2012-01-05 |
| 1952691925 | Jennifer E Witt | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-12 |
| 1447540521 | Joshua M Larson | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-11 |
| 1336468107 | Nisar Zaidi | Surgery | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2010-05-19 |
| 1639494362 | Kristin Pokorney Colling | Surgery | 400 E 3rd St, Duluth, MN 55805 | 2010-04-06 |
| 1346579349 | Krista Wilhelmson | Surgery | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-12-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.