Provider Demographics
NPI:1922026657
Name:NORWOOD, RONALD E (CRNA)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:E
Last Name:NORWOOD
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:C B 8054
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-6973
Mailing Address - Fax:314-362-1185
Practice Address - Street 1:351 CONSORT DR
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-4439
Practice Address - Country:US
Practice Address - Phone:636-200-4242
Practice Address - Fax:636-200-4243
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2015-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO072566367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO070060042Medicaid
IL$$$$$$$$$001Medicaid
MO430025697Medicare PIN
MO070060042Medicare PIN