Nathan Jim Davis, CRNA | |
1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | |
(218) 326-3401 | |
Not Available |
Full Name | Nathan Jim Davis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
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 |
---|---|---|---|
1972828788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R 164799-6 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 083824 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand Itasca Clinic And Hospital | 8123939550 | 115 |
Entity Name | Grand Itasca Clinic And Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
Mailing Address | Practice Location Address |
---|---|
Nathan Jim Davis, CRNA 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: () - | Nathan Jim Davis, CRNA 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-3401 |
Emilee Olson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 | |
Andrew Morris Blair, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 | |
Thomas G. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Jim S. Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Jared Onder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 613 Nw 1st Ave Unit 112a, Grand Rapids, MN 55744 Phone: 218-910-8078 | |
Mrs. Amber L. Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-3401 |