Provider Demographics
NPI:1063029585
Name:TREADWAY, RONALD SCOTT
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:SCOTT
Last Name:TREADWAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5734 LINNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43056-8220
Mailing Address - Country:US
Mailing Address - Phone:614-989-0439
Mailing Address - Fax:
Practice Address - Street 1:5734 LINNVILLE RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43056-8220
Practice Address - Country:US
Practice Address - Phone:614-989-0439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care