Provider Demographics
NPI:1295785400
Name:SARNO, RONALD A (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:A
Last Name:SARNO
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 1:4750 HEMPSTEAD STATION DR
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-5164
Mailing Address - Country:US
Mailing Address - Phone:800-875-0136
Mailing Address - Fax:937-619-4342
Practice Address - Street 1:800 MERCY DR
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-3128
Practice Address - Country:US
Practice Address - Phone:712-328-5230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA35968207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1588160Medicaid
NE39-02071OtherSHAREADVANTAGE
NE06495OtherBCBS
38264OtherBCBS
IAP00327616OtherRRMEDICARE FOR IOWA
15524OtherBCBSNE FOR IOWA
NE246404OtherMLDCH AND MUTUAL OF OMAHA
NE100249951-00Medicaid
NE100251147-00Medicaid
NEP00194061OtherRAILROAD MEDICARE
IA39-02072OtherSHARE ADVANTAGE
IA0588160Medicaid
NEE27262Medicare UPIN
NE100251147-00Medicaid
NE100249951-00Medicaid