| Mr Richard Alan Davenport Sr, CRNA, MS | |
|
102 Hartmann Drive, Suite G, #325, Lebanon, TN 37087-2516 | |
| (615) 294-9911 | |
| (615) 444-0298 |
| Full Name | Mr Richard Alan Davenport Sr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 102 Hartmann Drive, Lebanon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144334236 | NPI | - | NPPES |
| 36324201 | Other | TN | MEDICAID - NASHVILLE GEN. |
| 36324201 | Other | TN | MEDICARE - NASHVILLE GEN. |
| Entity Name | Oral Surgical Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144298050 PECOS PAC ID: 5092799031 Enrollment ID: O20040616000881 |
| Entity Name | Nashville General Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1568551455 PECOS PAC ID: 4587698543 Enrollment ID: O20070914000184 |
| Entity Name | Mid South Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548565245 PECOS PAC ID: 0749440782 Enrollment ID: O20120328000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Alan Davenport Sr, CRNA, MS 102 Hartman Dr, Suite G,, #325, Lebanon, TN 37087-2569 Ph: (615) 294-9911 | Mr Richard Alan Davenport Sr, CRNA, MS 102 Hartmann Drive, Suite G, #325, Lebanon, TN 37087-2516 Ph: (615) 294-9911 |
John Bratcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1411 Baddour Pakeway, Lebanon, TN 37087 Phone: 615-256-1064 | |
Eric Salser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 | |
Barbara Volner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 | |
James Fyke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 | |
Julie Terry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 | |
Charla L Schrimpe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 122 Geris Way, Lebanon, TN 37087 Phone: 615-444-4571 | |
John Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 |