MEDICARE: DR. TERRENCE RAINFORD CRONIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD60051104	WA
2	2080S0010X	Pediatric Sports Medicine Physician	MD60051104	WA
3	2080S0010X	Pediatric Sports Medicine Physician	35.132562	OH
4	208000000X	Pediatrics Physician	35.132562	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609986025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRENCE RAINFORD CRONIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 34703
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 WINSLOW AVE # MLC10001
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1144
Country	:	US
Telephone Number	:	513-636-4366
Fax Number	:	513-636-0516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/10/2025

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