Provider Demographics
NPI:1194202382
Name:NORWOOD, CYRUS ALEXZANDER
Entity Type:Individual
Prefix:MR
First Name:CYRUS
Middle Name:ALEXZANDER
Last Name:NORWOOD
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 1:2357 BUSH BLVD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8017
Mailing Address - Country:US
Mailing Address - Phone:614-942-9580
Mailing Address - Fax:
Practice Address - Street 1:1620 TURNBERRY DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-6808
Practice Address - Country:US
Practice Address - Phone:614-942-9580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care