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Physician Compare National (NPI:1093709404)

HEALTHCARE PROVIDER: LUDWIG F KRONER III MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1093709404
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8022143791
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150116000886
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KRONER
Individual professional last name
Provider First Name LUDWIG
Individual professional first name
Provider Middle Name F
Individual professional middle name
Provider Name Suffix Text III
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1974
Individual professional's medical school graduation year
Primary Specialty ORTHOPEDIC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name SYNERGY SURGICALISTS LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 0244553105
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 20
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 118 E HASKELL ST B
Group Practice or individual's line 1 address
City WINNEMUCCA
Group Practice or individual's city
State NV
Group Practice or individual's state
Zip Code 894453247
Group Practice or individual's zip code (9 digits when available)
Phone Number 7756253090
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 291308
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HUMBOLDT GENERAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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