| Brannon Russell Churchwell, DO | |
|
405 W Grand Ave, Dayton, OH 45405-4720 | |
| (937) 723-3248 | |
| Not Available |
| Full Name | Brannon Russell Churchwell |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 16 Years |
| Location | 405 W Grand Ave, Dayton, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467788877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 58.003157 (Ohio) | Secondary |
| 207L00000X | Anesthesiology | 2024016823 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Soin Medical Center | Beaver creek, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Mercy Health - Fairfield Hospital | Fairfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 331 |
| Dayton Anesthesia And Pain Services Llc | 8022245372 | 225 |
| Northstar Anesthesia Of Missouri Llc | 4082908249 | 66 |
| Entity Name | Anesthesia Associates Of Cincinnati, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Entity Name | Dayton Osteopathic Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588630347 PECOS PAC ID: 7618878877 Enrollment ID: O20040120000374 |
| Entity Name | Pain Management Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699775536 PECOS PAC ID: 1456254812 Enrollment ID: O20040202000116 |
| Entity Name | Dayton Anesthesia & Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
| Mailing Address | Practice Location Address |
|---|---|
| Brannon Russell Churchwell, DO 2340 Foxhill Dr Apt 1c, Miamisburg, OH 45342-5636 Ph: (404) 408-6518 | Brannon Russell Churchwell, DO 405 W Grand Ave, Dayton, OH 45405-4720 Ph: (937) 723-3248 |
Sumiko S Sarle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Mr. Antonio M Licata, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, 3 Fl / Anes. Dept, Dayton, OH 45409 Phone: 937-208-4380 Fax: 937-208-3843 | |
Joseph Mulcare, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Dr. Roberta Elizabeth Galford, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1997 Miamisburg Centerville Rd, Dayton, OH 45459 Phone: 937-401-6220 | |
Dr. Thomas James Fritz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-2612 | |
Mark Chambers, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, 3rd Floor, Anesthesia Dept, Dayton, OH 45409 Phone: 937-208-2627 | |
Nancy Kwon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, 3rd Fl, Anes. Dept., Attn: Barb, Dayton, OH 45409 Phone: 937-208-4380 |