| Benjamin Ryan Davis, CRNA, RN | |
| 
					250 Park St, Bowling Green, KY 42101-1795  | |
| (270) 745-1000 | |
| Not Available | 
| Full Name | Benjamin Ryan Davis | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 250 Park St, Bowling Green, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043986961 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0000228440 (Tennessee) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 147150 (Kentucky) | Primary | 
| Entity Name | Commonwealth Health Corporation, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Benjamin Ryan Davis, CRNA, RN 551 Collier Ln, Gallatin, TN 37066-8262 Ph: (615) 478-5141  | Benjamin Ryan Davis, CRNA, RN 250 Park St, Bowling Green, KY 42101-1795 Ph: (270) 745-1000  | 
Christian Michael Kranz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913  | |
Cody S. Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Park St, Suite 203b, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913  | |
Miss Heather G Childress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Park St, Suite 203b, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913  | |
Kristin K Bateman,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913  | |
Bruce Scott Weickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1000 Fax: 270-393-1913  | |
Adam Kuzma, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-393-1912 Fax: 270-393-1913  | |
Meagan Nicole Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-745-1000  |