Provider Demographics
NPI:1326048919
Name:KRONTZ, DANIEL P (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:KRONTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 STATE FARM RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4738
Mailing Address - Country:US
Mailing Address - Phone:828-264-0042
Mailing Address - Fax:828-264-8612
Practice Address - Street 1:610 STATE FARM RD
Practice Address - Street 2:SUITE A
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4738
Practice Address - Country:US
Practice Address - Phone:828-264-0042
Practice Address - Fax:828-264-8612
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31161207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3058062OtherBCBS TN
NC42213OtherMEDCOST
NC2074255OtherFIRST HEALTH
NC8950339Medicaid
TN4185712Medicaid
NC50339OtherBCBS NC
TN3058062OtherBLUECARE
NC11381OtherPARTNERS
NC50339OtherBCBS NC
NC8950339Medicaid