Provider Demographics
NPI:1609813344
Name:CARON, NORMAND ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:NORMAND
Middle Name:ROBERT
Last Name:CARON
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:PO BOX 7687
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-7687
Mailing Address - Country:US
Mailing Address - Phone:573-882-2259
Mailing Address - Fax:
Practice Address - Street 1:ONE HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-882-6955
Practice Address - Fax:573-884-0437
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004029817208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1800196OtherUNITED HEALTCARE
MO4654OtherBLUE SHIELD
MO4654OtherBLUE CHOICE
MO402957OtherHEALTHLINK
MO206681108Medicaid
MO925045236Medicare PIN
MO402957OtherHEALTHLINK
MOP00220770Medicare PIN
MO1800196OtherUNITED HEALTCARE
MO925041114Medicare PIN