Ronald Scott Awtry III, CRNA, APRN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA-1507 Issued in NM

Practice address

117 E 19TH St
Roswell, NM 88201-5151

Phone

(575) 627-7000

NPI assigned

Aug 26, 2017

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Louisville Hospital Hospital, Louisville, KY, CCN 180141

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ad of Kentucky PLLC

  • Anesthesiology Physician
  • Owensboro, KY
  • NPI 1376415596

  Single Specialty

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  KY, Single Specialty

  Medicare reassignment NPD
• Commonwealth Anesthesia, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1437196300

  Single Specialty

  Medicare reassignment NPD
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312

  Single Specialty

  Medicare reassignment NPD
• Trigg County Hospital, Inc

  • Critical Access Hospital
  • Cadiz, KY
  • NPI 1538218680

  Single Specialty

  Medicare reassignment NPD
• Jennie Stuart Medical Center Inc

  dba Jennie Stuart Family Health

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1912627605
  NPD
• Trigg County Hospital, Inc

  dba Main Street Rural Health Clinic

  • Rural Health Clinic/Center
  • Cadiz, KY
  • NPI 1669103347

  Single Specialty

  NPD
• University of Louisville Physicians, Inc.

  dba ULP Radiological Associates

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127

  Single Specialty

  NPD
• University of Louisville Physicians, Inc.

  dba ULP Anesthesiology

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1386990232
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Medical Center, Inc

  dba DBA University of Lousiville Hospital

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1861554438
  Care Compare affiliation

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1629595079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882021194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "telephone_number": "575-627-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Abraham Flexner Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022877",
            "country_code": "US",
            "telephone_number": "502-852-5851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWTRY",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "CRNA, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-1507",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3018250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlas Medical LLC
• Heidi Attrell, OTR/L
• Au Crown Enterprises LLC (Carabelli Dental)
• Auraltec Hearing Centers, Inc. (Miracle-Ear Hearing Centers)
• Alysia Marie Avitia
• Azurite Services PC
• Daniel Thomas Baker, PH.C., R.PH.
• Karen Marie Balkman, M.D.
• Betty Ball
• Lydia Ballard

• Certified Registered Nurse Anesthetist in Roswell, NM
• Providers in Roswell, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.