| Dr Ethan Taylor Lewis, DNP | |
|
12921 Cantrell Rd, Little Rock, AR 72223-1713 | |
| (501) 615-8296 | |
| Not Available |
| Full Name | Dr Ethan Taylor Lewis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 12921 Cantrell Rd, Little Rock, Arkansas |
| 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 |
|---|---|---|---|
| 1013690288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1138854 (Texas) | Primary |
| 163W00000X | Registered Nurse | R108058 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hendrick Medical Center | Abilene, TX | Hospital |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hendrick Anesthesia Network | 3274521281 | 78 |
| Baxter County Regional Hospital Inc | 0042389264 | 90 |
| Premier Anesthesia Of Arkansas Professional Corporation | 6406077460 | 61 |
| Entity Name | Hendrick Anesthesia Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851394993 PECOS PAC ID: 3274521281 Enrollment ID: O20040505001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Taylor Lewis, DNP 12921 Cantrell Rd, Little Rock, AR 72223-1713 Ph: (501) 615-8296 | Dr Ethan Taylor Lewis, DNP 12921 Cantrell Rd, Little Rock, AR 72223-1713 Ph: (501) 615-8296 |
Benjamin Mizell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 | |
Kasia Pabian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2018 N Garfield St, Little Rock, AR 72207 Phone: 501-614-9998 Fax: 501-325-1491 | |
John W Woodell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 N Rodney Parham Rd, No 203, Little Rock, AR 72212 Phone: 615-620-2320 Fax: 615-620-2323 | |
Barbara C Lenarduzzi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11401 Interstate 30, Little Rock, AR 72209 Phone: 501-455-7100 | |
Brent Anthony Lea, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205 Phone: 501-686-6114 Fax: 501-686-8139 | |
Anthony L Bridges, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205 Phone: 501-202-2093 Fax: 501-202-6316 |