| Justin N Davis, CRNA | |
|
2610 S Rockingchair Rd, Paragould, AR 72450-9609 | |
| (870) 240-5877 | |
| Not Available |
| Full Name | Justin N Davis |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2610 S Rockingchair Rd, Paragould, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811300718 | NPI | - | NPPES |
| 206712001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C003044 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041.420223 (Illinois) | Primary |
| Entity Name | Arkansas Methodist Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861593816 PECOS PAC ID: 6608780119 Enrollment ID: O20031124000746 |
| Entity Name | Physicians Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295851137 PECOS PAC ID: 3476528159 Enrollment ID: O20051115000751 |
| Entity Name | Jonesboro Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811368327 PECOS PAC ID: 2567762735 Enrollment ID: O20151120000910 |
| Entity Name | Lifelinc Anesthesia V, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
| Entity Name | Rural Health Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265039556 PECOS PAC ID: 8921410341 Enrollment ID: O20220121002281 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin N Davis, CRNA 2610 S Rockingchair Rd, Paragould, AR 72450-9609 Ph: (870) 240-5877 | Justin N Davis, CRNA 2610 S Rockingchair Rd, Paragould, AR 72450-9609 Ph: (870) 240-5877 |
Megan Davis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 W Kingshighway, Paragould, AR 72450 Phone: 870-239-7000 |