Individual provider · Type 1 NPI

Theron Ross, CRNA

Certified Registered Nurse Anesthetist · St. Louis, MO

NPI number 1336562776 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106-1621

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X209012165 (IL)
Certified Registered Nurse Anesthetist 367500000X2014001228 (MO)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1336562776

Theron Ross, CRNA's National Provider Identifier is 1336562776, issued on Jan 21, 2014. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 8, 2025.