Individual provider Active NPI

Ronald Earl Guarneri

  • Contractor
  • Hugo, MN
National Provider Identifier
1063204873
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
BC807733 Issued in MN
Practice address
5241 130TH St N
Hugo, MN 55038-5932
Phone
(651) 249-9772
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X BC807733 MN Primary

Addresses

Primary practice location

5241 130TH St N
Hugo, MN 55038-5932

Mailing address

5241 130TH St N
Hugo, MN 55038-5932
Phone (651) 249-9772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BC807733MNMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Woodcuts LLC Contractor CurrentSince May 25, 2025 Accepting new patients

Locations

5241 130th St N
Hugo, MN 55038
Phone (651) 249-9772

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1063204873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 130TH ST N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550385932",
            "telephone_number": "651-249-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 130TH ST N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550385932",
            "telephone_number": "651-249-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARNERI",
        "first_name": "RONALD",
        "middle_name": "EARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MN",
            "license": "BC807733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.