Provider Demographics
NPI:1063483402
Name:CRONE, ANGELA JOY (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:JOY
Last Name:CRONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:JOY
Other - Last Name:HOBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3605 NORTHGATE CT
Mailing Address - Street 2:STE 207
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-6400
Mailing Address - Country:US
Mailing Address - Phone:812-941-9355
Mailing Address - Fax:812-941-9312
Practice Address - Street 1:3605 NORTHGATE CT
Practice Address - Street 2:STE 207
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6400
Practice Address - Country:US
Practice Address - Phone:812-941-9355
Practice Address - Fax:812-941-9312
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01050460A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000336147OtherBC BC
IN200245840Medicaid
IN000000336147OtherBC BC
IN200245840Medicaid